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ICD-10 Guide
ICD-10 CodesD18.00

D18.00

Billable

Hemangioma unspecified site

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

Code Description

ICD-10 D18.00 is a billable code used to indicate a diagnosis of hemangioma unspecified site.

Key Diagnostic Point:

Hemangiomas are benign vascular tumors characterized by an abnormal proliferation of blood vessels. They can occur in various locations throughout the body, including the skin, liver, and other organs. Hemangiomas are most commonly found in infants and children, often appearing as red or purple marks on the skin. While most hemangiomas are self-limiting and resolve without treatment, some may require intervention if they cause complications such as bleeding, ulceration, or functional impairment. The term 'unspecified site' indicates that the hemangioma's exact location is not documented, which can complicate treatment and management decisions. Surveillance is typically recommended for hemangiomas, especially those that are large or located in critical areas, to monitor for potential complications. Although hemangiomas are benign, there is a need for careful observation to ensure they do not exhibit atypical features that could suggest malignant transformation, although this is rare. Accurate coding is essential for proper management and reimbursement, as well as for tracking the incidence and outcomes of these tumors in the population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of hemangioma location
  • Need for differentiation from other vascular lesions
  • Potential for complications requiring different management
  • Variability in treatment approaches based on hemangioma characteristics

Audit Risk Factors

  • Insufficient documentation of hemangioma characteristics
  • Inconsistent coding practices among providers
  • Lack of follow-up documentation for surveillance
  • Misclassification of hemangiomas as malignant lesions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed description of the hemangioma, including size, location, and any associated symptoms.

Common Clinical Scenarios

Infants presenting with cutaneous hemangiomas requiring monitoring or treatment.

Billing Considerations

Consideration of growth patterns and potential complications in infants.

Dermatology

Documentation Requirements

Photographic evidence of the hemangioma and detailed clinical notes on treatment decisions.

Common Clinical Scenarios

Adult patients with hemangiomas requiring surgical intervention or cosmetic treatment.

Billing Considerations

Differentiation from other skin lesions and documentation of treatment outcomes.

Coding Guidelines

Inclusion Criteria

Use D18.00 When
  • According to ICD
  • 10 coding guidelines, D18
  • 00 should be used when the specific site of the hemangioma is not documented
  • Coders should ensure that the diagnosis is confirmed and that there is no more specific code available

Exclusion Criteria

Do NOT use D18.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

17110CPT Code

Destruction, benign lesion

Clinical Scenario

Used when a hemangioma requires treatment.

Documentation Requirements

Document the size, location, and reason for destruction.

Specialty Considerations

Ensure that the procedure is justified based on clinical necessity.

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. However, the unspecified nature of D18.00 may lead to challenges in capturing the full clinical picture.

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. However, the unspecified nature of D18.00 may lead to challenges in capturing the full clinical picture.

Reimbursement & Billing Impact

reimbursement processes. However, the unspecified nature of D18.00 may lead to challenges in capturing the full clinical picture.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Hemangiomas

Coding & Billing References

  • •
    American Academy of Pediatrics - Hemangiomas

Frequently Asked Questions

What is the significance of coding D18.00?

Coding D18.00 indicates a benign hemangioma that is unspecified in location. Accurate coding is crucial for treatment planning and reimbursement, as well as for tracking the incidence of hemangiomas in the population.