Q82.5 — Congenital non-neoplastic nevus
Q82.5 is a billable, specific ICD-10-CM code for congenital non-neoplastic nevus. It is valid for submission on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Birthmark NOS
- Flammeus Nevus
- Portwine Nevus
- Sanguineous Nevus
- Strawberry Nevus
- Vascular Nevus NOS
- Verrucous Nevus
Other codes that can never be billed with Q82.5
These codes carry an Excludes1 note pointing at Q82.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q82.5 alone.
Risk adjustment
Q82.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
Q82.5 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57113Billing and Coding: Removal of Benign Skin Lesions
- A57113Billing and Coding: Removal of Benign Skin Lesions
- A57113Billing and Coding: Removal of Benign Skin Lesions
How Q82.5 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q82.5.
- Birthmark
- Port wine nevus, mark, or stain
- Mark›port wine
- Mark›raspberry
- Mark›strawberry
- Nevus›comedonicus
- Nevus›flammeus
- Nevus›portwine
- Nevus›sanguineous
- Nevus›strawberry
- Nevus›unius lateris
- Nevus›Unna's
Related codes at this level
Codes that share Q82. If Q82.5 is not quite right, the correct code is usually one of these.
Questions about Q82.5
- Is Q82.5 a billable ICD-10-CM code?
- Yes. Q82.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q82.5 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Other congenital malformations (Q80-Q89).