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D13.4
ICD-10-CM
Liver Hemangioma

Find comprehensive information on Liver Hemangioma diagnosis, including ICD-10 codes (I78.1), clinical documentation best practices, and healthcare guidance. Learn about hepatic hemangioma imaging, symptoms, treatment options, and differential diagnoses. This resource provides essential knowledge for medical professionals involved in coding, documenting, and managing liver hemangiomas. Explore reliable information on cavernous hemangioma of the liver and understand the implications for patient care.

Also known as

Hepatic Hemangioma
Cavernous Hemangioma of the Liver
Capillary Hemangioma of the Liver

Diagnosis Snapshot

Key Facts
  • Definition : Benign liver tumor made of blood vessels. Usually asymptomatic.
  • Clinical Signs : Often found incidentally on imaging. Rarely causes pain or other symptoms.
  • Common Settings : Diagnosed by ultrasound, CT, or MRI scans during routine checkups or other investigations.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC D13.4 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 affecting the liver.

Q28.2

Congenital hepatic vascular anomalies

Birth defects affecting liver blood vessels, including hemangiomas.

K76.89

Other specified diseases of liver

Can be used for unusual liver hemangiomas not classified elsewhere.

Code-Specific Guidance

Decision Tree for

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

Is the liver hemangioma cavernous?

  • Yes

    Code I78.01 Cavernous hemangioma of liver

  • No

    Is it a giant hemangioma?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Benign liver tumor made of blood vessels.
Cancerous liver tumor from hepatocytes.
Metastatic cancer spread to the liver.

Documentation Best Practices

Documentation Checklist
  • Liver hemangioma diagnosis: Confirmed with imaging (specify type)
  • Hemangioma size documented in centimeters
  • Number of hemangiomas (single vs. multiple)
  • Symptoms if present (e.g., abdominal pain)
  • Relevant lab results (e.g., liver function tests)

Coding and Audit Risks

Common Risks
  • Unspecified Size

    Coding for liver hemangioma requires specifying size. Unspecified size leads to inaccurate coding and potential underpayment.

  • Multiple Hemangiomas

    Proper coding distinguishes solitary vs. multiple hemangiomas. Incorrect coding impacts data integrity and reimbursement.

  • Symptomatic vs. Asymptomatic

    Documenting whether the hemangioma is symptomatic impacts code selection and reflects clinical picture for accurate reimbursement.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (I78.0) for Liver Hemangioma ensures proper billing.
  • Detailed clinical documentation supports I78.0 coding and justifies medical necessity.
  • Regular monitoring with imaging (ultrasound/MRI) tracks hemangioma size and prevents complications.
  • Avoid unnecessary interventions for asymptomatic hemangiomas to maintain healthcare compliance.
  • CDI professionals ensure accurate documentation and coding for Liver Hemangioma, optimizing reimbursement.

Clinical Decision Support

Checklist
  • 1. Asymptomatic? Confirm incidental finding on imaging (ICD-10: I78.1)
  • 2. Typical imaging features? Hyperechoic on US, peripheral enhancement on CT/MRI
  • 3. Size documented? Correlate size with stability on serial imaging
  • 4. Consider DDx: hepatic adenoma, FNH, mets. Biopsy if atypical features.
  • 5. Patient education: benign nature, follow-up imaging if indicated

Reimbursement and Quality Metrics

Impact Summary
  • Liver Hemangioma reimbursement hinges on accurate ICD-10-CM (D18.0) and CPT coding for imaging/procedures.
  • Coding quality directly impacts MS-DRG assignment and appropriate hospital reimbursement for D18.0.
  • Timely and specific documentation of hemangioma characteristics (size, symptoms) improves coding accuracy.
  • HCC risk adjustment coding for liver hemangioma may affect future reimbursements in value-based care.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code D18.0 for liver hemangioma
  • Confirm diagnosis via imaging
  • Document size and location
  • Consider I78.0 for complications
  • Rule out Kasabach-Merritt

Documentation Templates

Patient presents with an incidentally discovered liver hemangioma, likely during imaging surveillance for (state reason for imaging, e.g., abdominal pain, routine screening).  The patient denies any symptoms specifically attributable to the hemangioma, such as right upper quadrant pain, abdominal fullness, or nausea.  Physical examination reveals no hepatomegaly or palpable abdominal masses.  Liver function tests, including AST, ALT, alkaline phosphatase, and bilirubin, are within normal limits.  Imaging studies (specify modality, e.g., ultrasound, CT scan, MRI) demonstrate a (describe characteristics, e.g., well-defined, hyperechoic, non-contrast enhancing) lesion consistent with a hepatic hemangioma, measuring (size) cm in the (segment) of the liver.  Differential diagnosis includes hepatic adenoma, focal nodular hyperplasia, and hepatocellular carcinoma.  Given the typical imaging characteristics and asymptomatic presentation, the diagnosis of liver hemangioma is favored.  Management plan consists of conservative observation with repeat imaging in (timeframe, e.g., 6-12 months) to assess for any changes in size or characteristics.  Patient education provided regarding the benign nature of hepatic hemangiomas and the low risk of complications.  ICD-10 code D18.0 (Benign neoplasm of liver) is applicable.  The patient understands the plan and agrees to follow-up.