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

ICD-10 Q82.5

Billable / Specific

Congenital non-neoplastic nevus

Q82
Block
7
Synonyms
129
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM Q82.5

ICD-10-CM code Q82.5 represents Congenital non-neoplastic nevus. This is a billable/specific code in the Congenital Malformations chapter (block Q82). The 2026 edition of ICD-10-CM Q82.5 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Q82.5. Per CMS ICD-10-CM Tabular 2026.

  • Birthmark NOS
  • Flammeus Nevus
  • Portwine Nevus
  • Sanguineous Nevus
  • Strawberry Nevus
  • Vascular Nevus NOS
  • Verrucous Nevus

Type 2 Excludes

Not included here, the excluded code is not part of Q82.5, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • Café au lait spots (L81.3)
  • lentigo (L81.4)
  • nevus NOS (D22.-)
  • araneus nevus (I78.1)
  • melanocytic nevus (D22.-)
  • pigmented nevus (D22.-)
  • spider nevus (I78.1)
  • stellar nevus (I78.1)

Medicare LCD Coverage for Q82.5

Local Coverage Determinations (LCDs) from CMS MACs that list Q82.5 as a covered diagnosis.

129 LCDs

Showing top 10 of 129 total . Click a CPT for full coverage scope.

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 →
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 11305 →
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 11302 →
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 11440 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q82.5.

4 policies

3 Medicare

Billing and Coding: Removal of Benign Skin Lesions
Policy ID: ART-57044
Billing and Coding: Removal of Benign Skin Lesions
Policy ID: ART-57113
Billing and Coding: Removal of Benign Skin Lesions
Policy ID: ART-57482

1 Aetna

Pulsed Dye Laser Treatment
Policy ID: CPB-0559

CPT Codes Commonly Billed with Q82.5

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

No procedure linkages on file for Q82.5

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert Q82.5 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Q82.5 75732 10000

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

ICD-10 Q82.5, Billing FAQ

Is ICD-10 code Q82.5 billable? +

Yes, Q82.5 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 Q82.5? +

ICD-10 Q82.5 includes: Birthmark NOS; Flammeus Nevus; Portwine Nevus, and 4 more clinical synonyms.

What codes are Type 2 Excludes for Q82.5? +

Type 2 Excludes (may be coded together when both conditions exist): Café au lait spots (L81.3); lentigo (L81.4); nevus NOS (D22.-)

What ICD-9 codes does Q82.5 map to? +

Per CMS GEMs, Q82.5 maps to ICD-9 codes: 75732. 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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