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FY2027 ICD-10-CM reference

Q82.5: Congenital non-neoplastic nevus

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Congenital non-neoplastic nevus. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

No V28 HCC for 2026 dates of service (CMS 2027 Initial ICD-10-CM Mappings)

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

Source verification pending

PACE

Source verification pending

RxHCC

Source verification pending

HHS-HCC

Source verification pending

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Instructional note

Codes from this chapter are not for use on maternal records

Source: Q00-QA1 (chapter, inherited).

Excludes2

inborn errors of metabolism (E70-E88)

Source: Q00-QA1 (chapter, inherited).

Excludes1

acrodermatitis enteropathica (E83.2)

Source: Q82 (category, inherited).

Excludes1

congenital erythropoietic porphyria (E80.0)

Source: Q82 (category, inherited).

Excludes1

pilonidal cyst or sinus (L05.-)

Source: Q82 (category, inherited).

Excludes1

Sturge-Weber (-Dimitri) syndrome (Q85.89)

Source: Q82 (category, inherited).

Instructional note

Birthmark NOS

Source: Q82.5 (self, direct).

Instructional note

Flammeus Nevus

Source: Q82.5 (self, direct).

Instructional note

Portwine Nevus

Source: Q82.5 (self, direct).

Instructional note

Sanguineous Nevus

Source: Q82.5 (self, direct).

Instructional note

Strawberry Nevus

Source: Q82.5 (self, direct).

Instructional note

Vascular Nevus NOS

Source: Q82.5 (self, direct).

Instructional note

Verrucous Nevus

Source: Q82.5 (self, direct).

Excludes2

Café au lait spots (L81.3)

Source: Q82.5 (self, direct).

Excludes2

lentigo (L81.4)

Source: Q82.5 (self, direct).

Excludes2

nevus NOS (D22.-)

Source: Q82.5 (self, direct).

Excludes2

araneus nevus (I78.1)

Source: Q82.5 (self, direct).

Excludes2

melanocytic nevus (D22.-)

Source: Q82.5 (self, direct).

Excludes2

pigmented nevus (D22.-)

Source: Q82.5 (self, direct).

Excludes2

spider nevus (I78.1)

Source: Q82.5 (self, direct).

Excludes2

stellar nevus (I78.1)

Source: Q82.5 (self, direct).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does Q82.5 mean in FY2027?

The official ICD-10-CM descriptor is Congenital non-neoplastic nevus. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is Q82.5 billable in FY2027?

The FY2027 order file marks Q82.5 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does Q82.5 map to an HCC?

Q82.5 has no CMS-HCC V28 category in the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service). ESRD, RxHCC, PACE and HHS-HCC mappings are still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.

Review the FY2026 April edition