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Home/Diagnosis/ICD-10 Coding for Atypical Nevi

ICD-10 Coding for Atypical Nevi

D22.4
D22.5
D22.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for atypical nevi includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Dysplastic Nevus
Atypical Mole
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Key Information: ICD-10 Coding for Atypical Nevi

Essential facts and insights about ICD-10 Coding for Atypical Nevi

Use ICD-10 code D22.4 for melanocytic nevi of scalp and neck, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Melanocytic nevi of scalp and neck

Billable Code
D22.4
Billable

Diagnostic Criteria

clinical:
  • • Pathology confirms benign atypical nevus
documentation:
  • • Complete ABCDE criteria documented

Applicable To

  • • Atypical nevus of scalp
  • • Atypical nevus of neck

Important Notes

  • • Ensure pathology report confirms benign nature before using D22 codes.

Melanocytic nevi of trunk

Billable Code
D22.5
Billable

Diagnostic Criteria

clinical:
  • • Pathology confirms benign atypical nevus
documentation:
  • • Complete ABCDE criteria documented

Applicable To

  • • Atypical nevus of back
  • • Atypical nevus of chest

Important Notes

  • • Ensure pathology report confirms benign nature before using D22 codes.

Melanocytic nevi, unspecified

Billable Code
D22.9
Billable

Diagnostic Criteria

clinical:
  • • Pathology confirms benign atypical nevus
documentation:
  • • Complete ABCDE criteria documented

Applicable To

  • • Atypical nevus, unspecified location

Important Notes

  • • Ensure pathology report confirms benign nature before using D22 codes.

Neoplasm of uncertain behavior of skin

Billable Code
D48.5
Billable

Diagnostic Criteria

clinical:
  • • Pathology indicating moderate/severe atypia with uncertain biologic potential

Applicable To

  • • Neoplasm of uncertain behavior with moderate/severe atypia

Important Notes

  • • Ensure pathology report supports the use of this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z01.82

Encounter for mole surveillance

Use for monitoring atypical nevi without biopsy.

Z87.818

Personal history of dysplastic nevus syndrome

Use for patients with a history of dysplastic nevus syndrome.

Frequently Asked Questions

What is the ICD-10 code for atypical nevi?

The ICD-10 code for atypical nevi is primarily D22.x, with specific codes based on location, such as D22.4 for scalp/neck and D22.5 for trunk.

When should D48.5 be used for atypical nevi?

D48.5 should be used when pathology reports indicate moderate/severe atypia with uncertain biologic potential.

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