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ICD-10 Coding for Liver Hemangioma(D18.0)

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

Also known as:

Hepatic HemangiomaCavernous Hemangioma of the LiverCapillary Hemangioma of the Liver

Related ICD-10 Code Ranges

Complete code families applicable to Liver Hemangioma

D18.0-D18.9Primary Range

Hemangiomas and lymphangiomas, any site

This range includes all hemangiomas, with D18.0 specifically for liver hemangiomas.

Key Information: ICD-10 code for liver hemangioma

Essential facts and insights about Liver Hemangioma

The ICD-10 code for liver hemangioma is D18.0, used for confirmed cases based on imaging or pathology.

Primary ICD-10-CM Code for liver hemangioma

Hemangioma of liver
Non-billable Code

Decision Criteria

clinical Criteria

  • Confirmed imaging findings of hemangioma

coding Criteria

  • Use D18.0 for liver hemangioma, not D18.03

Applicable To

  • Cavernous hemangioma of liver
  • Capillary hemangioma of liver

Excludes

  • Liver cell carcinoma (C22.0)
  • Benign liver neoplasm (D13.0)

Clinical Validation Requirements

  • Imaging findings such as peripheral nodular enhancement on CT/MRI
  • Pathology reports confirming vascular spaces lined by endothelial cells

Code-Specific Risks

  • Misclassification as intra-abdominal structure (D18.03) instead of liver (D18.0)

Coding Notes

  • Ensure imaging or pathology confirms hemangioma before coding.

Ancillary Codes

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

Abnormal imaging of liver

R93.2
Use when imaging findings are inconclusive and hemangioma is suspected but unconfirmed.

Other specified diseases of liver

K76.89
Use for complications secondary to hemangioma, such as portal hypertension.

Differential Codes

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

Liver cell carcinoma

C22.0
Requires biopsy confirmation to differentiate from benign hemangioma.

Benign neoplasm of liver

D13.0
Histological confirmation of non-hemangioma benign tumor.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Liver Hemangioma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D18.0.

Impact

Clinical: Potential misdiagnosis or delayed diagnosis., Regulatory: Non-compliance with documentation standards., Financial: Denial of claims due to insufficient documentation.

Mitigation Strategy

Ensure all imaging reports are detailed and specific., Use standardized templates for documentation.

Impact

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

Mitigation Strategy

Correctly classify liver as an organ, not an intra-abdominal structure, and use D18.0.

Impact

Using codes for intra-abdominal structures instead of liver-specific codes.

Mitigation Strategy

Educate coders on the anatomical classification of liver as an organ.

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

Documentation Templates for Liver Hemangioma

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

Radiology Report for Liver Hemangioma

Specialty: Radiology

Required Elements

  • Imaging modality used
  • Size and location of hemangioma
  • Characteristic imaging findings

Example Documentation

IMPRESSION: Hepatic hemangioma (4.5 cm) in segment VI. FINDINGS: Well-circumscribed hyperechoic lesion on ultrasound. MRI demonstrates peripheral nodular enhancement with delayed fill-in, no washout. Stable size compared to prior CT (2023).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Liver lesion observed.
Good Documentation Example
Ultrasound reveals 4 cm hyperechoic lesion in segment VII with no contrast washout, consistent with hemangioma.
Explanation
The good example provides specific imaging characteristics that support the diagnosis of hemangioma.

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

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