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D18.03
ICD-10-CM
Hemangioma of Liver

Find comprehensive information on Hemangioma of Liver diagnosis, including clinical documentation, medical coding (ICD-10 D18.0, SNOMED CT), healthcare guidelines, and treatment options. Learn about hepatic hemangioma symptoms, imaging (MRI, CT scan), differential diagnosis, and liver hemangioma management. This resource is for healthcare professionals, medical coders, and patients seeking reliable information about liver hemangiomas.

Also known as

Hepatic Hemangioma
Cavernous Hemangioma of Liver

Diagnosis Snapshot

Key Facts
  • Definition : Benign tumor made of blood vessels in the liver. Usually asymptomatic and requires no treatment.
  • Clinical Signs : Most are asymptomatic. Large ones can cause pain, abdominal fullness, or rarely, bleeding.
  • Common Settings : Incidental finding on imaging (ultrasound, CT, MRI) done for other reasons.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC D18.03 Coding
D18.0

Hemangioma of liver

Benign tumor of blood vessels in the liver.

I78.0

Hereditary hemorrhagic telangiectasia

Inherited disorder causing abnormal blood vessel formation, sometimes in the liver.

K76.89

Other specified diseases of liver

Catch-all code for liver diseases not classified elsewhere, may include unusual hemangiomas.

Q28.2

Congenital anomaly of portal vein

May be associated with liver vascular malformations resembling hemangiomas.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the hemangioma of the liver cavernous?

  • Yes

    Code D18.0 Cavernous hemangioma of liver

  • No

    Is the hemangioma of the liver specified as other?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Hemangioma of liver
Hepatic adenoma
Focal nodular hyperplasia (FNH)

Documentation Best Practices

Documentation Checklist
  • Hemangioma liver size, location, and number documented
  • Imaging modality (US, CT, MRI) and findings specified
  • Symptoms, if present (e.g., abdominal pain, fullness)
  • Differential diagnosis considered and ruled out
  • Management plan: observation vs. intervention documented

Coding and Audit Risks

Common Risks
  • Unspecified Location

    Coding for Hemangioma of Liver lacks laterality (right/left lobe) impacting DRG assignment and reimbursement.

  • Conflicting Documentation

    Discrepancy between imaging reports and physician notes regarding hemangioma size or presence can lead to coding errors.

  • Missed Complication Codes

    Failure to capture associated complications like hemorrhage or rupture with Hemangioma of Liver results in undercoding and lost revenue.

Mitigation Tips

Best Practices
  • Code accurately: I78.6, K76.8, specify size/symptoms.
  • Document hemangioma characteristics: size, number, location.
  • Image findings crucial for diagnosis: ultrasound, CT/MRI.
  • Differentiate from other liver masses: clear documentation.
  • Monitor if large/symptomatic. Asymptomatic usually needs no Rx.

Clinical Decision Support

Checklist
  • 1. Imaging (US/CT/MRI): Confirm hepatic lesion characteristics.
  • 2. Biopsy (if needed): Verify histopathology of hemangioma.
  • 3. Asymptomatic: Exclude other liver masses.
  • 4. Symptomatic: Correlate symptoms with size/location.

Reimbursement and Quality Metrics

Impact Summary
  • Hemangioma of Liver Reimbursement: Coding accuracy impacts DRG assignment and proper hospital payment. HCC coding affects risk adjustment and future reimbursements.
  • Quality Metrics Impact: Hemangioma monitoring and management influence patient outcomes and hospital quality reporting related to liver disease.
  • Liver Lesion Coding: Accurate ICD-10-CM (e.g., I78.0) and CPT coding for procedures ensures appropriate reimbursement and data integrity for liver hemangioma.
  • Hospital Reporting: Precise diagnosis coding affects case mix index (CMI), impacting hospital reimbursement and public quality reports.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code I78.6 for hemangioma liver
  • Document size, location, symptoms
  • Rule out malignancy with imaging
  • Consider K76.8 if cavernous
  • Check documentation for complications

Documentation Templates

Patient presents with a hepatic hemangioma, likely incidental finding discovered on abdominal imaging performed for [reason for imaging].  The patient denies abdominal pain, right upper quadrant discomfort, or other symptoms associated with liver masses.  No history of liver disease, cirrhosis, or coagulopathy.  Physical exam reveals no hepatomegaly or palpable masses.  Imaging findings consistent with a benign liver hemangioma, measuring [size] cm located in the [location] lobe of the liver.  Differential diagnosis includes hepatic adenoma, focal nodular hyperplasia, and hepatic metastasis.  However, the characteristic imaging appearance on [imaging modality, e.g., ultrasound, CT, MRI] suggests a hemangioma.  No intervention is indicated at this time given the asymptomatic nature and benign characteristics.  Plan includes continued surveillance with [imaging modality] in [timeframe] to monitor for any changes in size or symptomatology.  Patient education provided regarding the nature of hepatic hemangiomas, including their benign nature and the low risk of complications.  ICD-10 code D18.0 Hepatic hemangioma and CPT codes for imaging and subsequent follow-up will be applied. Patient understands and agrees with the plan.