Patient presents with a suspected hemangioma.  Clinical findings include a raised, vascular lesion consistent with a hemangioma diagnosis.  The lesion location is documented, along with its size, color (e.g., bright red, bluish, or purple), and texture (e.g., smooth, lobulated, or cavernous).  Differential diagnoses considered include vascular malformations, pyogenic granuloma, and Kaposi sarcoma.  Based on the clinical presentation and absence of features suggestive of other vascular anomalies, the diagnosis of hemangioma is made.  Treatment options, including watchful waiting, propranolol therapy, laser treatment, or surgical excision, were discussed with the patient.  The natural history of hemangiomas, including potential involution, was explained.  The patient's understanding of the diagnosis, prognosis, and treatment plan was confirmed.  Follow-up for monitoring and reassessment of the hemangioma is scheduled.  Relevant ICD-10 codes (e.g., D18.0 for hemangioma of the skin and subcutaneous tissue) and CPT codes for any procedures performed are documented for medical billing and coding purposes. This documentation supports medical necessity for any interventions performed.