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Q82.2 ICD-10-CM Code: Congenital cutaneous mastocytosis

ICD-10-CM Code View

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FY 2026 Apr update / Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0) / Other congenital malformations (Q80-Q89)

Q82.2

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

Congenital cutaneous mastocytosis

A congenital condition where mast cells accumulate abnormally in the skin, causing brown spots or lesions that are present from birth.

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
Q82Other congenital malformations of skin
Q82.2Congenital cutaneous mastocytosis

Inclusion Terms

Official
  • Congenital diffuse cutaneous mastocytosis
  • Congenital maculopapular cutaneous mastocytosis
  • Congenital urticaria pigmentosa

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Q82.2 in this effective period.

Related Child Codes

Official
Q82.0Hereditary lymphedema
Q82.1Xeroderma pigmentosum
Q82.3Incontinentia pigmenti
Q82.4Ectodermal dysplasia (anhidrotic)
Q82.5Congenital non-neoplastic nevus

Includes

Official

ICD-10-CM does not list Includes notes for Q82.2 in this effective period.

Excludes 1

Official
  • cutaneous mastocytosis NOS (D47.01)
  • diffuse cutaneous mastocytosis (with onset after newborn period) (D47.01)
  • malignant mastocytosis (C96.2-)
  • systemic mastocytosis (D47.02)
  • urticaria pigmentosa (non-congenital) (with onset after newborn period) (D47.01)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Q82.2 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Q82.2 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Q82.2 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Document the extent and distribution of skin involvement to support medical necessity
Distinguish from systemic mastocytosis which would require a different code

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 Q82.2 an HCC code?

No. Q82.2 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Q82.2
Description
Congenital cutaneous mastocytosis
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Q82.2 is the ICD-10-CM diagnosis code for congenital cutaneous mastocytosis. A congenital condition where mast cells accumulate abnormally in the skin, causing brown spots or lesions that are present from birth. Q82.2 sits in the ICD-10-CM chapter for congenital malformations, deformations and chromosomal abnormalities (q00-qa0), within the section covering other congenital malformations (q80-q89).

Q82.2 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Document the extent and distribution of skin involvement to support medical necessity.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Q82.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Document the extent and distribution of skin involvement to support medical necessity
  • Distinguish from systemic mastocytosis which would require a different code

Excludes 1, Do NOT code together

  • cutaneous mastocytosis NOS (D47.01)
  • diffuse cutaneous mastocytosis (with onset after newborn period) (D47.01)
  • malignant mastocytosis (C96.2-)
  • systemic mastocytosis (D47.02)
  • urticaria pigmentosa (non-congenital) (with onset after newborn period) (D47.01)

Child Codes

Code Hierarchy

Q82.2 code history

Code setChange
FY2018 (effective Oct 1, 2017)Description revised

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

Work Q82.2 in HCC Buddy

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