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v1.0.0
ICD-10 Guide
DiagnosesLiver Hemangioma

Liver Hemangioma

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

PRIMARY SPECIALTYRadiology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Liver Hemangioma?
Essential facts and insights about Liver Hemangioma

Key Clinical Considerations:

  • Asymptomatic in most cases; may present with abdominal pain or discomfort
  • Ultrasound shows a well-defined, hyperechoic lesion; CT/MRI reveals a hypervascular mass with characteristic peripheral nodular enhancement
  • Physical exam may reveal hepatomegaly or tenderness in the right upper quadrant

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including symptoms, imaging findings, and any prior interventions
  • Use of specific terms such as 'hemangioma', 'benign vascular tumor', and 'liver lesion'
  • Examples include detailed imaging reports and descriptions of the lesion's size and characteristics

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding benign tumors versus malignant lesions.
  • Common errors include misclassifying hemangiomas as malignant or failing to document size.

Code Exclusions

Important Exclusions

  • Malignant liver tumors, liver metastases, and other vascular liver lesions
  • Alternative codes for liver lesions that are not hemangiomas

Related ICD-10 Codes

Primary Codes
D18.01
Hemangioma of liver
Ancillary Codes
R93.2
K76.89
Differential Codes
C22.0
D13.0

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Radiology

Specialty Applications

  • Adults and children, particularly those undergoing imaging for unrelated abdominal issues
  • Outpatient radiology settings and inpatient hospital admissions

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include imaging results, size of the hemangioma, and any symptoms.

Billing considerations?

Ensure accurate coding to reflect the benign nature of the condition.