ICD-10 · PDGM grouping
D22 Melanocytic nevi
All 20 codes in the D22 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
20
Can lead a claim
14
Cannot lead a claim
6
What CMS assigns to D22
14 of the 20 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 6 are assigned no clinical group. None of the 20 is assigned a comorbidity subgroup. 14 of the 20 can lead a claim.
Every code in D22
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| D22.0 | Melanocytic nevi of lip | Can lead a claim | K | None |
| D22.1 Melanocytic nevi of eyelid, including canthus | ||||
| D22.10 | Melanocytic nevi of unspecified eyelid, including canthus | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D22.11 Melanocytic nevi of right eyelid, including canthus | ||||
| D22.111 | Melanocytic nevi of right upper eyelid, including canthus | Can lead a claim | K | None |
| D22.112 | Melanocytic nevi of right lower eyelid, including canthus | Can lead a claim | K | None |
| D22.12 Melanocytic nevi of left eyelid, including canthus | ||||
| D22.121 | Melanocytic nevi of left upper eyelid, including canthus | Can lead a claim | K | None |
| D22.122 | Melanocytic nevi of left lower eyelid, including canthus | Can lead a claim | K | None |
| D22.2 Melanocytic nevi of ear and external auricular canal | ||||
| D22.20 | Melanocytic nevi of unspecified ear and external auricular canalCMS: Melanocytic nevi of unsp ear and external auricular canal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D22.21 | Melanocytic nevi of right ear and external auricular canal | Can lead a claim | K | None |
| D22.22 | Melanocytic nevi of left ear and external auricular canal | Can lead a claim | K | None |
| D22.3 Melanocytic nevi of other and unspecified parts of face | ||||
| D22.30 | Melanocytic nevi of unspecified part of face | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D22.39 | Melanocytic nevi of other parts of face | Can lead a claim | K | None |
| D22.4 | Melanocytic nevi of scalp and neck | Can lead a claim | K | None |
| D22.5 | Melanocytic nevi of trunk | Can lead a claim | K | None |
| D22.6 Melanocytic nevi of upper limb, including shoulder | ||||
| D22.60 | Melanocytic nevi of unspecified upper limb, including shoulderCMS: Melanocytic nevi of unsp upper limb, including shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D22.61 | Melanocytic nevi of right upper limb, including shoulder | Can lead a claim | K | None |
| D22.62 | Melanocytic nevi of left upper limb, including shoulder | Can lead a claim | K | None |
| D22.7 Melanocytic nevi of lower limb, including hip | ||||
| D22.70 | Melanocytic nevi of unspecified lower limb, including hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D22.71 | Melanocytic nevi of right lower limb, including hip | Can lead a claim | K | None |
| D22.72 | Melanocytic nevi of left lower limb, including hip | Can lead a claim | K | None |
| D22.9 | Melanocytic nevi, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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