Investigation on the ICD-10 Coding for Hemangioma,Vascular Malformation and Angiomatosis
Hemangioma,vascular malformation and hemangiomatosis have similar clinical features,which are dark red or blue-purple masses protruding from the skin or deep visceral organs,but their clinical manifestations and histopathological characteristics are different.The pathological characteristics of hemangioma are abnormal proliferation of vascular endothelial cells and are defined as tumors.The histopathological characteristics of capillary hemangioma should be coded to(M9131/0)D18.0,and Kaposiform hemangioendothelioma should be coded to(M9130/1)D48.1.Vascular malformations are not tumors,and their histological structures do not have endothelial cell proliferation.Their codes are:capillary malformations-Q82.5,venous malformations-Q27.9,arteriovenous malformations-Q27.3.Hemangiomatosis is a syndrome or other disease with hemangioma-like clinical manifestations but also with other characteristics.Trigeminal neuroangiomatosis is coded as Q85.8,and hepatic hemangiomatosis is coded as K76.4.Coding personnel need to master the knowledge of these disease classifications and classify them correctly by reading the details in the medical records.
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