R22.1

R22.1: Localized swelling, mass and lump, neck

Billable / specific codeICD-10-CM

R22.1 is a billable, specific ICD-10-CM code for localized swelling, mass and lump, neck. It is valid for submission on a claim.

Check R22.1 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R22.1

A category’s note binds every code beneath it.

Written on R22: Localized swelling, mass and lump of skin and subcutaneous tissue

abnormal findings on diagnostic imaging (R90-R93)
edema (R60.-)
enlarged lymph nodes (R59.-)
localized adiposity (E65)
swelling of joint (M25.4-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R22.1 is named in 19 Medicare coverage policies: 19 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
A53057Billing and Coding: Home Health Occupational Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Alphabetic index entries that lead here

Mass›neck
Swelling›neck(localized)
Mass›localized›neck
Swelling›localized›neck

Code history

Unchanged in every release from FY2024 to FY2027.