ICD-10 Coding for Epidural Hematoma(I62.0, G95.19, G97.62)
Complete ICD-10-CM coding and documentation guide for Epidural Hematoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Epidural Hematoma
I62-I62.9Primary Range
Nontraumatic intracranial hemorrhage
Covers nontraumatic epidural hematomas, primarily intracranial.
Other and unspecified diseases of spinal cord
Includes nontraumatic spinal epidural hematomas.
Traumatic intracranial hemorrhage
Used for traumatic epidural hematomas, primarily intracranial.
Intraoperative and postprocedural complications and disorders of nervous system
Includes postprocedural epidural hematomas.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I62.0 | Nontraumatic extradural hemorrhage | For nontraumatic intracranial epidural hematomas confirmed by imaging. |
|
| G95.19 | Other specified diseases of spinal cord | For nontraumatic spinal epidural hematomas confirmed by imaging. |
|
| G97.62 | Postprocedural hematoma of nervous system following other procedure | For epidural hematomas following a procedure. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for epidural hematoma
Essential facts and insights about Epidural Hematoma
Primary ICD-10-CM Codes for epidural hematoma
Decision Criteria
clinical Criteria
- Imaging confirms epidural hematoma without trauma.
Applicable To
- Nontraumatic intracranial epidural hematoma
Excludes
- Traumatic epidural hematoma (S06.4-)
Clinical Validation Requirements
- CT or MRI showing epidural hematoma without trauma history
Code-Specific Risks
- Confusion with traumatic codes
Coding Notes
- Ensure documentation specifies nontraumatic nature.
G95.19 - Other specified diseases of spinal cord
For nontraumatic spinal epidural hematomas confirmed by imaging.
Applicable To
- Nontraumatic spinal epidural hematoma
Excludes
- Traumatic spinal cord injury (S34.1-)
Clinical Validation Requirements
- MRI showing spinal epidural hematoma without trauma or procedure
Coding Notes
Document absence of trauma or procedure.
G97.62 - Postprocedural hematoma of nervous system following other procedure
For epidural hematomas following a procedure.
Applicable To
- Postprocedural epidural hematoma
Excludes
- Nontraumatic epidural hematoma (I62.0)
Clinical Validation Requirements
- Documentation of recent procedure and imaging showing hematoma
Coding Notes
Ensure procedure and complication are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Epidural Hematoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I62.0.
Impact
Clinical: Misleading clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Thorough patient history, Cross-check with imaging
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Potential audit flags, Data Quality: Inaccurate clinical data
Mitigation Strategy
Verify location and use appropriate code range.
Impact
Incorrect use of intracranial vs. spinal codes.
Mitigation Strategy
Regular training on code differentiation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Epidural Hematoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Epidural Hematoma
Use these documentation templates to ensure complete and accurate documentation for Epidural Hematoma. These templates include all required elements for proper coding and billing.
Nontraumatic spinal epidural hematoma
Specialty: NeurologyRequired Elements
- Patient history
- Imaging results
- Clinical symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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