The present disclosure relates to an image processing device and method that enable suppression of an increase in the amount of coding of a scaling list. An image processing device of the present disclosure sets a coefficient located at the beginning of a quantization matrix by adding a replacement difference coefficient that is a difference between a replacement coefficient used to replace a coefficient located at the beginning of the quantization matrix and the coefficient located at the beginning of the quantization matrix to the coefficient located at the beginning of the quantization matrix; up-converts the set quantization matrix; and dequantizes quantized data using an up-converted quantization matrix in which a coefficient located at the beginning of the up-converted quantization matrix has been replaced with the replacement coefficient. The present disclosure can be applied to an image processing device.