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ICD-10 Guide
ICD-10 CodesD18.02

D18.02

Billable

Hemangioma of intracranial structures

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D18.02 is a billable code used to indicate a diagnosis of hemangioma of intracranial structures.

Key Diagnostic Point:

Hemangiomas of intracranial structures are benign vascular tumors that arise from the proliferation of blood vessels within the cranial cavity. These tumors can occur in various locations, including the brain and the meninges, and are often discovered incidentally during imaging studies for other conditions. While most hemangiomas are asymptomatic and do not require treatment, some may cause symptoms due to their size or location, leading to increased intracranial pressure, seizures, or neurological deficits. The exact etiology of intracranial hemangiomas remains unclear, but they are generally considered benign and have a low risk of malignant transformation. Surveillance through regular imaging may be necessary for larger or symptomatic lesions to monitor for any changes in size or symptoms. Treatment options, when indicated, may include surgical resection or embolization, particularly if the hemangioma is symptomatic or growing. Overall, the prognosis for patients with hemangiomas of intracranial structures is favorable, with most individuals experiencing a good quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other vascular lesions
  • Need for precise documentation of symptoms
  • Potential for incidental findings on imaging
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to document imaging findings
  • Misclassification as malignant
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging reports, and treatment plans.

Common Clinical Scenarios

Patients presenting with headaches, seizures, or neurological deficits.

Billing Considerations

Ensure that imaging studies are clearly documented to support the diagnosis.

Neurosurgery

Documentation Requirements

Surgical notes, pre-operative assessments, and post-operative follow-up documentation.

Common Clinical Scenarios

Patients requiring surgical intervention for symptomatic hemangiomas.

Billing Considerations

Document the rationale for surgical intervention and any complications.

Coding Guidelines

Inclusion Criteria

Use D18.02 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis and any associated symptoms
  • Include imaging findings and treatment plans in the medical record

Exclusion Criteria

Do NOT use D18.02 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61548CPT Code

Resection of intracranial tumor

Clinical Scenario

Used when a hemangioma requires surgical intervention.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Neurosurgeons should document the indication for surgery and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hemangiomas, improving the accuracy of data collection and reimbursement processes. D18.02 provides a clear distinction between benign and malignant conditions, which is crucial for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hemangiomas, improving the accuracy of data collection and reimbursement processes. D18.02 provides a clear distinction between benign and malignant conditions, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. D18.02 provides a clear distinction between benign and malignant conditions, which is crucial for treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of an intracranial hemangioma?

Common symptoms include headaches, seizures, and neurological deficits, which may arise depending on the size and location of the hemangioma.

How often should patients with asymptomatic hemangiomas be monitored?

Patients with asymptomatic hemangiomas may require follow-up imaging every 1-2 years to monitor for changes in size or symptoms.