Is R22.42 a billable ICD-10-CM code?

Yes. R22.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R22.42 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).

R22.42

R22.42 — Localized swelling, mass and lump, left lower limb

Billable / specific codeICD-10-CMleft

R22.42 is a billable, specific ICD-10-CM code for localized swelling, mass and lump, left lower limb. It is valid for submission on a claim.

Risk adjustment

R22.42 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

R22.42 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

Related codes at this level

Codes that share R22.4. If R22.42 is not quite right, the correct code is usually one of these.

Questions about R22.42

Is R22.42 a billable ICD-10-CM code?: Yes. R22.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R22.42 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).