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D22 ICD-10-CM Code: Melanocytic nevi

ICD-10-CM Code View

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FY 2026 Apr update / Neoplasms (C00-D49) / Benign neoplasms, except benign neuroendocrine tumors (D10-D36)

D22

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Melanocytic nevi

Melanocytic nevi

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
D2Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
D22Melanocytic nevi

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D22 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D22 in this effective period.

Related Child Codes

Official
D22.0Melanocytic nevi of lip
D22.1Melanocytic nevi of eyelid, including canthus
D22.2Melanocytic nevi of ear and external auricular canal
D22.3Melanocytic nevi of other and unspecified parts of face
D22.4Melanocytic nevi of scalp and neck

Includes

Official
  • atypical nevus
  • blue hairy pigmented nevus
  • nevus NOS

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for D22 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D22 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D22 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D22 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

D22 is the ICD-10-CM diagnosis code for melanocytic nevi. D22 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

Header codes like D22 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at D22's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D22 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • atypical nevus
  • blue hairy pigmented nevus
  • nevus NOS

Child Codes

Code Hierarchy

D22Melanocytic nevi
D22Melanocytic nevi

More on D22

Referenced in blog posts

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