R22.33 — Localized swelling, mass and lump, upper limb, bilateral
R22.33 is a billable, specific ICD-10-CM code for localized swelling, mass and lump, upper limb, bilateral. It is valid for submission on a claim.
Excludes1 inherited from the categories above R22.33
These are not written on R22.33, but they bind it: a note on a category applies to every code beneath it. Billing R22.33 with anything listed here is a denial.
Risk adjustment
R22.33 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
R22.33 is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52993Billing and Coding: Peripheral Venous Ultrasound
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
R22.33 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share R22.3. If R22.33 is not quite right, the correct code is usually one of these.
Questions about R22.33
- Is R22.33 a billable ICD-10-CM code?
- Yes. R22.33 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R22.33 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 R22.33?
- R22.33 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R22.33 (R22) and apply to it just the same.