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ICD-10 Guide
ICD-10 CodesD18.01

D18.01

Billable

Hemangioma of skin and subcutaneous tissue

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

Code Description

ICD-10 D18.01 is a billable code used to indicate a diagnosis of hemangioma of skin and subcutaneous tissue.

Key Diagnostic Point:

Hemangiomas are benign vascular tumors that can occur in various locations, including the skin and subcutaneous tissue. They are characterized by an abnormal proliferation of blood vessels and can present as red or purple lesions on the skin. Hemangiomas are most commonly seen in infants and children, often appearing shortly after birth and typically resolving spontaneously by the age of 5 to 10 years. While they are benign and generally do not pose a risk of malignancy, they can cause complications depending on their size and location, such as ulceration, bleeding, or interference with normal function if located near vital structures. Diagnosis is primarily clinical, based on the appearance of the lesion, although imaging studies may be utilized in complex cases to assess deeper involvement. Surveillance is often recommended for larger hemangiomas or those that are symptomatic, to monitor for potential complications. Treatment options may include observation, medication, or surgical intervention if necessary. Overall, hemangiomas of the skin and subcutaneous tissue are considered benign neoplasms with a low risk of malignant transformation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other vascular lesions
  • Variability in presentation and location
  • Need for accurate documentation of size and symptoms
  • Potential for associated complications requiring additional codes

Audit Risk Factors

  • Inadequate documentation of lesion characteristics
  • Failure to document associated symptoms or complications
  • Misclassification of hemangiomas as malignant lesions
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of newly diagnosed hemangiomas, management of symptomatic lesions, and follow-up of lesions over time.

Billing Considerations

Ensure to document any treatment provided and the rationale for intervention.

Pediatrics

Documentation Requirements

Clinical history, including the onset of the hemangioma, growth patterns, and any associated symptoms.

Common Clinical Scenarios

Monitoring of infant hemangiomas, referral for surgical evaluation, and management of complications.

Billing Considerations

Document parental concerns and any impact on the child's quality of life.

Coding Guidelines

Inclusion Criteria

Use D18.01 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate documentation of the hemangioma's characteristics
  • Include any relevant symptoms or complications in the medical record to support the diagnosis

Exclusion Criteria

Do NOT use D18.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

17110CPT Code

Destruction of benign skin lesions

Clinical Scenario

Used when a hemangioma requires treatment via destruction.

Documentation Requirements

Document the size, location, and method of destruction.

Specialty Considerations

Dermatologists should ensure proper coding based on the treatment provided.

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. It has also facilitated better tracking of treatment outcomes and complications.

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. It has also facilitated better tracking of treatment outcomes and complications.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of treatment outcomes and complications.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What is the typical management for a hemangioma?

Management of hemangiomas often involves observation, as many resolve spontaneously. In cases where the hemangioma is symptomatic or causing complications, treatment options may include medication or surgical intervention.