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ICD-10 Coding for Hemorrhagic Stroke(I60.-, I61.-, I62.-)

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

Also known as:

Brain HemorrhageIntracerebral HemorrhageSubarachnoid Hemorrhagehemorrhagic cerebrovascular accidentbrain bleed

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Related ICD-10 Code Ranges

Complete code families applicable to Hemorrhagic Stroke

I60-I62Primary Range

Nontraumatic hemorrhage of the central nervous system

This range includes all types of nontraumatic hemorrhagic strokes, such as subarachnoid, intracerebral, and subdural hemorrhages.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I60.-Nontraumatic subarachnoid hemorrhageUse when imaging confirms subarachnoid hemorrhage without trauma.
  • CT scan showing blood in basal cisterns
  • Clinical presentation of sudden severe headache
I61.-Nontraumatic intracerebral hemorrhageUse for confirmed intracerebral hemorrhage without trauma.
  • MRI showing parenchymal blood
  • History of hypertension
I62.-Nontraumatic subdural/epidural hemorrhageUse for confirmed subdural or epidural hemorrhage without trauma.
  • CT scan showing subdural hematoma
  • History of anticoagulant use

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 stroke

Essential facts and insights about Hemorrhagic Stroke

The ICD-10 codes for hemorrhagic stroke include I60.- for subarachnoid hemorrhage, I61.- for intracerebral hemorrhage, and I62.- for subdural/epidural hemorrhage.

Primary ICD-10-CM Codes for hemorrhagic stroke

I60.-
Nontraumatic subarachnoid hemorrhage
Non-billable Code

Decision Criteria

clinical Criteria

  • Sudden onset of severe headache with imaging confirmation

Applicable To

  • Ruptured aneurysm
  • Sudden thunderclap headache

Excludes

  • Traumatic subarachnoid hemorrhage (S06.6-)

Clinical Validation Requirements

  • CT scan showing blood in basal cisterns
  • Clinical presentation of sudden severe headache

Code-Specific Risks

  • Misclassification if trauma is involved

Coding Notes

  • Ensure documentation specifies nontraumatic origin.
View Full Code Details

Ancillary Codes

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

Hypertension

I10
Use when hypertension is documented as a contributing factor.

Long term (current) use of anticoagulants

Z79.01
Use when anticoagulant use is documented.

Sequelae of cerebrovascular disease

I69.0-I69.2
Use for documenting residual effects post-acute phase.

Differential Codes

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

Traumatic subarachnoid hemorrhage

S06.6-
Presence of trauma or injury leading to hemorrhage

Cerebral infarction

I63.-
Lack of hemorrhagic evidence on imaging

Traumatic subdural hemorrhage

S06.5-
Evidence of trauma or injury

Documentation & Coding Risks

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

Impact

Clinical: Inaccurate representation of patient's health status., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement for related conditions.

Mitigation Strategy

Review patient history for comorbid conditions, Ensure all relevant conditions are documented and coded

Impact

Reimbursement: May lead to lower DRG assignment and reimbursement., Compliance: Non-compliance with coding specificity requirements., Data Quality: Reduces accuracy of clinical data for research and analysis.

Mitigation Strategy

Ensure documentation includes specific location and laterality.

Impact

Risk of audits due to unspecified hemorrhage coding.

Mitigation Strategy

Ensure detailed documentation of hemorrhage specifics.

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 Stroke, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hemorrhagic Stroke

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

Acute Intracerebral Hemorrhage

Specialty: Neurology

Required Elements

  • Location of hemorrhage
  • Laterality
  • Etiology
  • Imaging findings
  • Comorbid conditions

Example Documentation

Acute nontraumatic right thalamic hemorrhage (2.8 cm) on CT, NIHSS 12, history of HTN (I10), no coagulopathy.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient with stroke, likely hemorrhagic.
Good Documentation Example
NIHSS 15. Noncontrast CT shows 4.2 cm left cerebellar hemorrhage with mass effect. History of HTN (BP 210/110 on arrival). No trauma or anticoagulant use.
Explanation
The good example provides specific details on location, size, and etiology, improving coding accuracy.

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