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ICD-10 Guide
ICD-10 CodesD18.03

D18.03

Billable

Hemangioma of intra-abdominal structures

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

Code Description

ICD-10 D18.03 is a billable code used to indicate a diagnosis of hemangioma of intra-abdominal structures.

Key Diagnostic Point:

Hemangiomas are benign vascular tumors that can occur in various locations within the body, including intra-abdominal structures such as the liver, spleen, and kidneys. These tumors are composed of a mass of blood vessels and are typically asymptomatic, often discovered incidentally during imaging studies for unrelated conditions. Intra-abdominal hemangiomas can vary in size and may be solitary or multiple. While they are generally benign and do not exhibit malignant potential, their presence can sometimes lead to complications such as hemorrhage or compression of adjacent organs. Surveillance is often recommended to monitor for any changes in size or symptoms, particularly in cases where the hemangioma is large or symptomatic. The management of hemangiomas may include observation, imaging follow-up, or, in rare cases, surgical intervention if complications arise. Understanding the benign nature of these tumors is crucial for appropriate coding and management, as they typically do not require aggressive treatment unless complications occur.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant tumors in documentation.
  • Variability in presentation and symptoms of hemangiomas.
  • Need for imaging studies to confirm diagnosis.
  • Potential for incidental findings complicating coding.

Audit Risk Factors

  • Inadequate documentation of the tumor's size and location.
  • Failure to note the benign nature of the hemangioma.
  • Misclassification as a malignant neoplasm.
  • Lack of follow-up documentation for surveillance.

Specialty Focus

Medical Specialties

Radiology

Documentation Requirements

Detailed imaging reports that specify the size, location, and characteristics of the hemangioma.

Common Clinical Scenarios

Incidental findings on imaging studies during evaluations for other conditions.

Billing Considerations

Ensure that imaging findings are clearly linked to the diagnosis of hemangioma.

Surgery

Documentation Requirements

Operative reports detailing the indication for surgery, findings, and any complications.

Common Clinical Scenarios

Surgical intervention for symptomatic hemangiomas or those causing complications.

Billing Considerations

Document the rationale for surgical intervention to support coding.

Coding Guidelines

Inclusion Criteria

Use D18.03 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the hemangioma's characteristics
  • Include details about size, location, and any symptoms or complications

Exclusion Criteria

Do NOT use D18.03 When
  • Exclude codes for malignant neoplasms unless there is clear evidence of malignancy

Related ICD-10 Codes

Related CPT Codes

74176CPT Code

CT abdomen with contrast

Clinical Scenario

Used to evaluate the size and characteristics of the hemangioma.

Documentation Requirements

Document the indication for the CT scan and findings related to the hemangioma.

Specialty Considerations

Radiologists should ensure clear communication of findings to referring physicians.

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. The granularity of ICD-10 codes helps in better tracking of benign tumors and their management.

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. The granularity of ICD-10 codes helps in better tracking of benign tumors and their management.

Reimbursement & Billing Impact

reimbursement processes. The granularity of ICD-10 codes helps in better tracking of benign tumors and their management.

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 is the significance of coding D18.03?

Coding D18.03 accurately reflects the diagnosis of a benign hemangioma in intra-abdominal structures, which is crucial for appropriate management and surveillance. It helps in tracking the incidence of these tumors and ensuring proper reimbursement for services rendered.