ICD-10 Coding for Hemangioma(D18.01, D18.05)
Complete ICD-10-CM coding and documentation guide for Hemangioma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hemangioma
D18.0-D18.9Primary Range
Benign neoplasms of lymphatic and blood vessels
This range includes all site-specific codes for hemangiomas, which are benign vascular tumors.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D18.01 | Hemangioma of skin and subcutaneous tissue | Use when the hemangioma is located on the skin or subcutaneous tissue. |
|
| D18.05 | Hemangioma of other sites | Use when the hemangioma is located in the oral cavity or lip, not involving skin. |
|
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 skin hemangioma
Essential facts and insights about Hemangioma
Primary ICD-10-CM Codes for hemangioma
Decision Criteria
clinical Criteria
- Confirmed by imaging or clinical examination as a skin or subcutaneous hemangioma
Applicable To
- Skin hemangioma
- Subcutaneous hemangioma
Clinical Validation Requirements
- Documented anatomical site as skin or subcutaneous tissue
- Imaging or clinical examination confirming hemangioma
Code-Specific Risks
- Misclassification if the site is not specified as skin or subcutaneous
Coding Notes
- Ensure the documentation specifies the exact site to avoid misclassification.
D18.05 - Hemangioma of other sites
Use when the hemangioma is located in the oral cavity or lip, not involving skin.
Applicable To
- Hemangioma of oral cavity
- Hemangioma of lip
Excludes
- Hemangioma of skin (D18.01)
Clinical Validation Requirements
- Documentation specifying the hemangioma is in the oral cavity or lip
- Exclusion of skin involvement
Coding Notes
Ensure the documentation specifies the site as oral cavity or lip.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other skin changes
R23.8Differential 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 Hemangioma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D18.01.
Impact
Clinical: May lead to inappropriate treatment decisions, Regulatory: Increased risk of audit and denial, Financial: Potential loss of reimbursement
Mitigation Strategy
Use templates that prompt for site specification, Train staff on the importance of detailed documentation
Impact
Reimbursement: Potential underpayment due to incorrect DRG assignment, Compliance: Risk of audit failure due to inaccurate coding, Data Quality: Decreased data accuracy for clinical research
Mitigation Strategy
Verify the specific site and use the appropriate code from D18.01-D18.06.
Impact
Inaccurate site documentation leading to incorrect code selection
Mitigation Strategy
Implement mandatory site documentation fields in EHR systems
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hemangioma
Use these documentation templates to ensure complete and accurate documentation for Hemangioma. These templates include all required elements for proper coding and billing.
Excision of subcutaneous hemangioma
Specialty: SurgeryRequired Elements
- Pre-operative diagnosis
- Imaging correlation
- Procedure details
- Pathology findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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