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D22.1 ICD-10-CM Code: Melanocytic nevi of eyelid, including canthus

ICD-10-CM Code View

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

D22.1

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

Melanocytic nevi of eyelid, including canthus

Melanocytic nevi of eyelid, including canthus

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
D22Melanocytic nevi
D22.1Melanocytic nevi of eyelid, including canthus

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D22.1 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D22.1 in this effective period.

Related Child Codes

Official
D22.10Melanocytic nevi of unspecified eyelid, including canthus
D22.11Melanocytic nevi of right eyelid, including canthus
D22.12Melanocytic nevi of left eyelid, including canthus

Includes

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

Excludes 1

Official

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D22.1 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D22.1 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D22.1 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
D22.1
Description
Melanocytic nevi of eyelid, including canthus
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

D22.1 is the ICD-10-CM diagnosis code for melanocytic nevi of eyelid, including canthus. D22.1 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 D22.1 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 D22.1'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 D22.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

D22Melanocytic neviD22.1Melanocytic nevi of eyelid, including canthus
D22.1Melanocytic nevi of eyelid, including canthus

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