D22.111 — Melanocytic nevi of right upper eyelid, including canthus
D22.111 is a billable, specific ICD-10-CM code for melanocytic nevi of right upper eyelid, including canthus. It is valid for submission on a claim.
Risk adjustment
D22.111 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D22.111 is named in 21 Medicare coverage policies — 21 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56346Billing and Coding: Removal of Benign and Malignant Skin Lesions
- A56439Billing and Coding: Blepharoplasty
- A56464Billing and Coding: Flow Cytometry
- A56503Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
Code history
D22.111 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share D22.11. If D22.111 is not quite right, the correct code is usually one of these.
Questions about D22.111
- Is D22.111 a billable ICD-10-CM code?
- Yes. D22.111 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D22.111 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).