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R22.2

R22.2Localized swelling, mass and lump, trunk

Billable / specific codeICD-10-CM

R22.2 is a billable, specific ICD-10-CM code for localized swelling, mass and lump, trunk. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • intra-abdominal or pelvic mass and lump (R19.0-)
  • intra-abdominal or pelvic swelling (R19.0-)

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.

  • breast mass and lump (N63)

Risk adjustment

R22.2 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

R22.2 is named in 14 Medicare coverage policies 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53064Billing and Coding: Outpatient Occupational Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy
  • A56464Billing and Coding: Flow Cytometry

How R22.2 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 R22.2.

  • Masschest
  • Swellingchest, localized
  • Masslocalizedchest
  • Masslocalizedtrunk
  • Swellinglocalizedchest
  • Swellinglocalizedtrunk

Related codes at this level

Codes that share R22. If R22.2 is not quite right, the correct code is usually one of these.

Questions about R22.2

Is R22.2 a billable ICD-10-CM code?
Yes. R22.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R22.2 sit in the tabular list?
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the skin and subcutaneous tissue (R20-R23).
What cannot be coded together with R22.2?
R22.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.