ICD-10 Coding for Cavernous Malformation(D18.02, Q28.8)
Complete ICD-10-CM coding and documentation guide for Cavernous Malformation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cavernous Malformation
D18.0-D18.9Primary Range
Hemangioma and lymphangioma, any site
Includes codes for hemangiomas, including intracranial cavernous hemangiomas.
Other congenital malformations of circulatory system
Used for unspecified or congenital cavernous malformations.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D18.02 | Hemangioma of intracranial structures | For confirmed intracranial cavernous hemangiomas. |
|
| Q28.8 | Other specified congenital malformations of circulatory system | When the cavernoma is unspecified or congenital without specific location. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for cavernous malformation
Essential facts and insights about Cavernous Malformation
Primary ICD-10-CM Codes for cavernous malformation
Decision Criteria
clinical Criteria
- MRI confirmation of intracranial location
Applicable To
- Cerebral cavernous hemangioma
Excludes
- Spinal cavernous hemangioma
Clinical Validation Requirements
- MRI confirmation with susceptibility-weighted imaging
- Histological confirmation if available
Code-Specific Risks
- Misclassification as unspecified hemangioma
Coding Notes
- Ensure MRI findings are documented to support the use of this code.
Q28.8 - Other specified congenital malformations of circulatory system
When the cavernoma is unspecified or congenital without specific location.
Applicable To
- Unspecified cavernous malformation
Excludes
- Specific hemangiomas
Clinical Validation Requirements
- Lack of specific location or type in documentation
Coding Notes
Avoid using if specific location and type are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Epilepsy, unspecified, not intractable, without status epilepticus
G40.909Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cavernous Malformation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D18.02.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audit failure., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure detailed imaging reports are included., Use specific terminology.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure detailed documentation of location and type.
Impact
High risk of audit if unspecified codes are used when specific codes are applicable.
Mitigation Strategy
Ensure thorough documentation and use of specific codes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Cavernous Malformation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cavernous Malformation
Use these documentation templates to ensure complete and accurate documentation for Cavernous Malformation. These templates include all required elements for proper coding and billing.
Cerebral cavernous malformation with seizures
Specialty: NeurologyRequired Elements
- Patient history
- MRI findings
- Seizure description
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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