ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D22.5

Billable / Specific

Melanocytic nevi of trunk

D22
Block
4
Synonyms
430
LCDs
14
Payer Policies
36
Linked CPTs

About ICD-10-CM D22.5

ICD-10-CM code D22.5 represents Melanocytic nevi of trunk. This is a billable/specific code in the Neoplasms chapter (block D22). The 2026 edition of ICD-10-CM D22.5 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under D22.5. Per CMS ICD-10-CM Tabular 2026.

  • Melanocytic nevi of anal margin
  • Melanocytic nevi of anal skin
  • Melanocytic nevi of perianal skin
  • Melanocytic nevi of skin of breast

Medicare LCD Coverage for D22.5

Local Coverage Determinations (LCDs) from CMS MACs that list D22.5 as a covered diagnosis.

430 LCDs

Showing top 10 of 430 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma
Article ID: 59163, Effective: 2026-01-22 00:00:00, 18 covered, 0 non-covered
CPT 0090U →
CMS LCD: Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma
Article ID: 59163, Effective: 2026-01-22 00:00:00, 18 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma
Article ID: 59163, Effective: 2026-01-22 00:00:00, 18 covered, 0 non-covered
CPT 0314U →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11313 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11300 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11306 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11423 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11442 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11307 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11303 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D22.5.

14 policies

5 Medicare

Billing and Coding: Removal of Benign and Malignant Skin Lesions
Policy ID: ART-56346
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56658
Billing and Coding: Implantable Infusion Pump
Policy ID: ART-56695
Billing and Coding: Removal of Benign Skin Lesions
Policy ID: ART-57044

CPT Codes Commonly Billed with D22.5

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

36 linkages
  • 0314U CMS LCD: Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma CMS LCD
  • 0090U CMS LCD: Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma CMS LCD
  • 11305 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11404 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11444 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11403 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11442 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11307 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11301 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 17108 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD

Convert D22.5 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D22.5 2165 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 D22.5, Billing FAQ

Is ICD-10 code D22.5 billable? +

Yes, D22.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to D22.5? +

ICD-10 D22.5 includes: Melanocytic nevi of anal margin; Melanocytic nevi of anal skin; Melanocytic nevi of perianal skin, and 1 more clinical synonyms.

What CPT codes are commonly billed with D22.5? +

Procedures frequently paired with D22.5 include: 0314U, 0090U, 11305, 11404, 11444.

What ICD-9 codes does D22.5 map to? +

Per CMS GEMs, D22.5 maps to ICD-9 codes: 2165. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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