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v1.0.0
ICD-10 Guide
DiagnosesHemangioma

Hemangioma

ICD-10 Coding for Hemangioma(D18.01, D18.05)

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

Diagnosis Overview

What is Hemangioma?
Essential facts and insights about Hemangioma

Key Clinical Considerations:

  • Painless, raised red or purple lesions on the skin
  • Ultrasound or MRI showing vascular malformation
  • Palpable mass with a soft, compressible texture

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset and duration of lesions
  • Description of physical exam findings and imaging results
  • Use of specific terms like 'cavernous' or 'capillary' hemangioma

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for distinguishing between types of hemangiomas.
  • Common errors include misclassifying the type of hemangioma.

Code Exclusions

Important Exclusions

  • Other vascular malformations like arteriovenous malformations
  • Codes for non-hemangiomatous skin lesions

Related ICD-10 Codes

Primary Codes
D18.01
Cavernous hemangioma of skin and subcutaneous tissue
D18.09
Other hemangioma
Ancillary Codes
R23.8
Differential Codes
D18.02
D18.01

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Surgery

Specialty Applications

  • Pediatric and adult patients with vascular lesions
  • Outpatient and inpatient surgical settings

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 detailed descriptions of the lesion and any imaging studies.

Billing considerations?

Ensure accurate coding to reflect the type and location of hemangioma.