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ICD-10 Coding for Hemangioma of Liver(D18.09)

Complete ICD-10-CM coding and documentation guide for Hemangioma of Liver. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Hepatic HemangiomaCavernous Hemangioma of Liver

Related ICD-10 Code Ranges

Complete code families applicable to Hemangioma of Liver

D18.0-D18.09Primary Range

Benign neoplasms of lymphatic and hemangiomas

This range includes codes for benign neoplasms, specifically hemangiomas, which are applicable to liver hemangiomas.

Key Information: ICD-10 code for hemangioma of liver

Essential facts and insights about Hemangioma of Liver

The ICD-10 code for hemangioma of the liver is D18.09, used for benign neoplasms of other sites.

Primary ICD-10-CM Code for hemangioma of liver

Hemangioma of other sites
Billable Code

Decision Criteria

clinical Criteria

  • Imaging shows peripheral nodular enhancement with centripetal fill-in.

documentation Criteria

  • Documentation confirms benign hemangioma.

Applicable To

  • Cavernous hemangioma of liver
  • Capillary hemangioma of liver

Excludes

  • Malignant neoplasm of liver (C22.0)

Clinical Validation Requirements

  • Imaging confirmation with CT or MRI showing typical enhancement patterns
  • Documentation confirming benign nature

Code-Specific Risks

  • Incorrectly coding as malignant
  • Using a non-specific code like D18.03

Coding Notes

  • Ensure documentation specifies the benign nature and imaging characteristics.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Abnormal findings on diagnostic imaging of liver

R93.2
Use when imaging findings are incidental and not yet characterized.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Liver cell carcinoma

C22.0
Histological confirmation of malignancy is required to use C22.0.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hemangioma of Liver to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D18.09.

Impact

Clinical: May lead to misdiagnosis or inappropriate management., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.

Mitigation Strategy

Train staff on specific terminology, Use templates that prompt for detailed descriptions

Impact

Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Use D18.09 for liver hemangiomas as the liver is an organ, not a structure.

Impact

Using D18.03 instead of D18.09 for liver hemangiomas.

Mitigation Strategy

Implement regular coding audits and training sessions.

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 Hemangioma of Liver, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hemangioma of Liver

Use these documentation templates to ensure complete and accurate documentation for Hemangioma of Liver. These templates include all required elements for proper coding and billing.

Radiology Report for Liver Hemangioma

Specialty: Radiology

Required Elements

  • Modality used (CT/MRI)
  • Size and location of hemangioma
  • Enhancement pattern
  • Comparison with prior studies
  • Diagnostic certainty

Example Documentation

Ultrasound reveals 3.2cm hyperechoic lesion in segment VII. Contrast-enhanced MRI demonstrates peripheral discontinuous nodular enhancement with progressive centripetal fill-in, retaining contrast on delayed phases. No washout. Findings diagnostic of cavernous hemangioma. Recommend annual monitoring.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Liver mass noted on imaging.
Good Documentation Example
3.2cm cavernous hemangioma in segment VII with typical enhancement pattern on MRI.
Explanation
The good example specifies the type, size, location, and imaging characteristics, providing a complete clinical picture.

Need help with ICD-10 coding for Hemangioma of Liver? Ask your questions below.

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