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D22.60 ICD-10-CM Code: Melanocytic nevi of unspecified upper limb, including shoulder

D22.60 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupD22.60

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

D22.60

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Melanocytic nevi of unspecified upper limb, including shoulder

A benign mole on the upper arm, forearm, hand, or shoulder when the specific side is not documented or unknown.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for D22.60. Check the code and parent instructions in the Code Book.

Excludes 2

Official

No Excludes 2 notes are included in this display for D22.60. Check the code and parent instructions in the Code Book.

Includes

Official
  • atypical nevusInherited from D22
  • blue hairy pigmented nevusInherited from D22
  • nevus NOSInherited from D22

Excludes 1

Official

No Excludes 1 notes are included in this display for D22.60. Check the code and parent instructions in the Code Book.

Code First

Official

No Code First sequencing instructions are included in this display for D22.60. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for D22.60. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for D22.60. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when laterality cannot be determined; otherwise use D22.61 or D22.62
This code encompasses the entire upper limb from shoulder to fingertips

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 →

Is D22.60 an HCC code?

No. D22.60 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
D22.60
Description
Melanocytic nevi of unspecified upper limb, including shoulder
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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What This Code Means

D22.60 is the ICD-10-CM diagnosis code for melanocytic nevi of unspecified upper limb, including shoulder. A benign mole on the upper arm, forearm, hand, or shoulder when the specific side is not documented or unknown. D22.60 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

D22.60 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Use this code only when laterality cannot be determined; otherwise use D22.61 or D22.62.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D22.60 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when laterality cannot be determined; otherwise use D22.61 or D22.62
  • This code encompasses the entire upper limb from shoulder to fingertips

Child Codes

Code Hierarchy

Also searched as

  • D22 60
  • D2260

Work D22.60 in HCC Buddy

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