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ICD-10 Coding for Hemorrhagic Costovertebral Angle(I60, N28.89)

Complete ICD-10-CM coding and documentation guide for Hemorrhagic Costovertebral Angle. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Hemorrhagic CVAKidney Hemorrhage with CVA Tenderness

Related ICD-10 Code Ranges

Complete code families applicable to Hemorrhagic Costovertebral Angle

I60-I62Primary Range

Nontraumatic subarachnoid, intracerebral, and other intracranial hemorrhage

Primary range for hemorrhagic cerebrovascular accidents (strokes).

Other specified disorders of kidney and ureter

Used for kidney-related hemorrhagic conditions with CVA tenderness.

Pain localized to upper abdomen

Used for documenting flank pain associated with kidney hemorrhage.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I60Nontraumatic subarachnoid hemorrhageUse when imaging confirms subarachnoid hemorrhage.
  • CT or MRI confirmation of subarachnoid hemorrhage
N28.89Other specified disorders of kidney and ureterUse for nontraumatic kidney hemorrhage with CVA tenderness.
  • CT or ultrasound showing kidney hemorrhage

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 hemorrhagic CVA

Essential facts and insights about Hemorrhagic Costovertebral Angle

The ICD-10 codes for hemorrhagic cerebrovascular accidents include I60 for subarachnoid hemorrhage, I61 for intracerebral hemorrhage, and I62 for other nontraumatic intracranial hemorrhages.

Primary ICD-10-CM Codes for hemorrhagic costovertebral angle

Nontraumatic subarachnoid hemorrhage
Non-billable Code

Decision Criteria

clinical Criteria

  • Imaging confirms subarachnoid hemorrhage

Applicable To

  • Subarachnoid hemorrhage

Excludes

  • Traumatic subarachnoid hemorrhage (S06.6-)

Clinical Validation Requirements

  • CT or MRI confirmation of subarachnoid hemorrhage

Code-Specific Risks

  • Misclassification with traumatic hemorrhage

Coding Notes

  • Ensure imaging supports subarachnoid hemorrhage diagnosis.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Gross hematuria

R31.0
Use when hematuria is present with kidney hemorrhage.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Traumatic subarachnoid hemorrhage

S06.6-
Differentiate based on trauma history.

Traumatic kidney injury

S37.01-
Differentiate based on trauma history.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hemorrhagic Costovertebral Angle to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I60.

Impact

Clinical: Misrepresentation of patient condition, Regulatory: Potential for audit issues, Financial: Incorrect reimbursement

Mitigation Strategy

Verify chronicity in clinical documentation, Use specific codes for chronic conditions

Impact

Reimbursement: Incorrect DRG assignment, Compliance: Potential audit flags, Data Quality: Inaccurate clinical data

Mitigation Strategy

Clarify context in documentation to specify anatomical location.

Impact

Lack of imaging confirmation for hemorrhagic stroke codes

Mitigation Strategy

Ensure all hemorrhagic stroke diagnoses are supported by imaging reports.

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 Hemorrhagic Costovertebral Angle, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hemorrhagic Costovertebral Angle

Use these documentation templates to ensure complete and accurate documentation for Hemorrhagic Costovertebral Angle. These templates include all required elements for proper coding and billing.

Neurology Progress Note for Hemorrhagic CVA

Specialty: Neurology

Required Elements

  • HPI
  • Imaging results
  • Assessment
  • Plan

Example Documentation

**HPI**: 68M with sudden-onset left-sided weakness. NIHSS 12. **Imaging**: Non-contrast CT head shows 3.2 cm right basal ganglia hemorrhage. **Assessment**: Primary hypertensive intracerebral hemorrhage (I61.0). **Plan**: ICP monitoring, BP management.

Examples: Poor vs. Good Documentation

Poor Documentation Example
CVA present.
Good Documentation Example
Severe left CVA tenderness with rebound; CT confirms 8mm perinephric hematoma.
Explanation
The good example provides specific location and imaging confirmation, supporting accurate coding.

Need help with ICD-10 coding for Hemorrhagic Costovertebral Angle? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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