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ICD-10 Guide
ICD-10 CodesD18.09

D18.09

Billable

Hemangioma of other sites

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

Code Description

ICD-10 D18.09 is a billable code used to indicate a diagnosis of hemangioma of other sites.

Key Diagnostic Point:

Hemangiomas are benign vascular tumors that can occur in various tissues throughout the body. While they are most commonly found in the skin and liver, hemangiomas can also develop in other sites, including the brain, lungs, and gastrointestinal tract. These tumors are characterized by an abnormal proliferation of blood vessels and can vary in size and appearance. Most hemangiomas are asymptomatic and do not require treatment; however, some may cause complications depending on their location and size. For instance, a hemangioma in the brain may lead to neurological symptoms, while one in the gastrointestinal tract could cause bleeding. Surveillance is often recommended for hemangiomas located in critical areas to monitor for potential growth or complications. Although hemangiomas are benign, there is a very low risk of malignant transformation, particularly in atypical cases or when they are associated with other conditions. Accurate diagnosis typically involves imaging studies such as ultrasound, MRI, or CT scans, and histological examination may be necessary for definitive diagnosis in certain cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and location of hemangiomas
  • Need for differential diagnosis with other vascular lesions
  • Potential for complications based on hemangioma location
  • Documentation of symptoms and treatment necessity

Audit Risk Factors

  • Inadequate documentation of hemangioma location
  • Failure to document symptoms or complications
  • Misclassification of hemangioma type
  • Lack of imaging or diagnostic evidence

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed description of the hemangioma's size, location, and any symptoms.

Common Clinical Scenarios

Evaluation of skin hemangiomas, treatment options, and follow-up care.

Billing Considerations

Ensure clear documentation of benign nature and any treatment performed.

Radiology

Documentation Requirements

Imaging reports detailing the characteristics of the hemangioma.

Common Clinical Scenarios

Imaging studies for hemangiomas in various locations, including ultrasound and MRI.

Billing Considerations

Accurate reporting of imaging findings to support diagnosis and coding.

Coding Guidelines

Inclusion Criteria

Use D18.09 When
  • According to ICD
  • 10 coding guidelines, D18
  • 09 should be used for hemangiomas located in sites not specifically classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that the hemangioma is confirmed as benign

Exclusion Criteria

Do NOT use D18.09 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

36476CPT Code

Sclerotherapy for treatment of hemangioma

Clinical Scenario

Used when a hemangioma requires intervention due to symptoms.

Documentation Requirements

Document the indication for sclerotherapy and the patient's response.

Specialty Considerations

Ensure that the procedure is performed by a qualified specialist.

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 diagnoses and treatment tracking. D18.09 provides a distinct code for hemangiomas located in unspecified sites, enhancing data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hemangiomas, improving the accuracy of diagnoses and treatment tracking. D18.09 provides a distinct code for hemangiomas located in unspecified sites, enhancing data collection and analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hemangiomas, improving the accuracy of diagnoses and treatment tracking. D18.09 provides a distinct code for hemangiomas located in unspecified sites, enhancing data collection and analysis.

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 D18.09 accurately?

Accurate coding of D18.09 is crucial for proper reimbursement, tracking of treatment outcomes, and ensuring that patients receive appropriate care based on their specific condition.