ICD-10 Coding for Compound Nevus(D22.x)
Complete ICD-10-CM coding and documentation guide for Compound Nevus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Compound Nevus
D22Primary Range
Melanocytic nevi
This range includes codes for melanocytic nevi, which are benign neoplasms of melanocytes, including compound nevi.
Neoplasm of uncertain behavior of skin
Used for nevi with dysplastic features indicating uncertain behavior.
Congenital non-neoplastic nevus
Used for congenital non-melanocytic nevi, not typically applicable to compound nevi.
Key Information: ICD-10 code for compound nevus
Essential facts and insights about Compound Nevus
Primary ICD-10-CM Code for compound nevus
Decision Criteria
clinical Criteria
- Nested melanocytes without atypia
coding Criteria
- Use D22.x for benign compound nevi
documentation Criteria
- Document size, location, and morphology
Applicable To
- Compound nevus
- Junctional nevus
Clinical Validation Requirements
- Nested melanocytes at dermoepidermal junction and within dermis
- No atypia present
Code-Specific Risks
- Confusing with dysplastic nevi, which require D48.5.
Coding Notes
- Ensure documentation specifies benign nature and location for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Shave excision of skin lesion
CPT 11300-11313Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Compound Nevus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D22.x.
Impact
Clinical: Inadequate clinical records, Regulatory: Non-compliance with documentation standards, Financial: Potential for denied claims
Mitigation Strategy
Always measure and document lesion size, Use templates to ensure completeness
Impact
Reimbursement: Incorrect DRG assignment leading to audits., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use Q82.5 for congenital non-melanocytic nevi.
Impact
Using D22.x for congenital nevi can lead to audit flags.
Mitigation Strategy
Verify congenital status and use Q82.5 when appropriate.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Compound Nevus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Compound Nevus
Use these documentation templates to ensure complete and accurate documentation for Compound Nevus. These templates include all required elements for proper coding and billing.
Excision of compound nevus
Specialty: DermatologyRequired Elements
- Location
- Size
- Color
- Borders
- Texture
- Procedure
- Clinical Impression
- Pathology Correlation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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