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ICD-10 Coding for History of Subarachnoid Hemorrhage(Z86.73)

Complete ICD-10-CM coding and documentation guide for History of Subarachnoid Hemorrhage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Resolved Subarachnoid HemorrhagePast Subarachnoid Hemorrhage

Related ICD-10 Code Ranges

Complete code families applicable to History of Subarachnoid Hemorrhage

Z86.7Primary Range

Personal history of diseases of the circulatory system

This range includes codes for personal history of cerebrovascular diseases, including subarachnoid hemorrhage.

Key Information: ICD-10 code for history of subarachnoid hemorrhage

Essential facts and insights about History of Subarachnoid Hemorrhage

The ICD-10 code for a history of subarachnoid hemorrhage is Z86.73.

Primary ICD-10-CM Code for history of subarachnoid hemorrhage

Personal history of other diseases of the circulatory system
Billable Code

Decision Criteria

clinical Criteria

  • Patient has a history of SAH with no current symptoms.

documentation Criteria

  • Medical records include imaging and treatment history confirming resolved SAH.

Applicable To

  • History of subarachnoid hemorrhage

Excludes

  • Current subarachnoid hemorrhage (I60.x)

Clinical Validation Requirements

  • Documentation of resolved subarachnoid hemorrhage
  • Imaging reports confirming past SAH
  • Treatment records such as aneurysm clipping or coiling

Code-Specific Risks

  • Incorrectly coding an active SAH as history
  • Lack of documentation specifying resolution

Coding Notes

  • Ensure documentation clearly states the SAH is resolved.

Ancillary Codes

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

Headache

R51.9
Use for headache symptoms unrelated to active SAH.

Differential Codes

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

Nontraumatic subarachnoid hemorrhage, unspecified

I60.9
Use I60.9 for active cases of SAH, not resolved history.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting History of Subarachnoid Hemorrhage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.73.

Impact

Clinical: May lead to inappropriate treatment decisions., Regulatory: Could result in audit findings., Financial: Incorrect coding affects reimbursement.

Mitigation Strategy

Use clear language indicating resolved status, Regular training on documentation standards

Impact

Reimbursement: Incorrect coding may lead to inappropriate DRG assignment., Compliance: Using active codes for resolved conditions can lead to compliance issues., Data Quality: Misrepresents patient history and affects data accuracy.

Mitigation Strategy

Use Z86.73 for resolved cases.

Impact

Using active SAH codes for historical cases.

Mitigation Strategy

Regular audits and training on proper code usage.

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 History of Subarachnoid Hemorrhage, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for History of Subarachnoid Hemorrhage

Use these documentation templates to ensure complete and accurate documentation for History of Subarachnoid Hemorrhage. These templates include all required elements for proper coding and billing.

Routine follow-up for resolved SAH

Specialty: Neurology

Required Elements

  • Patient history of SAH
  • Treatment details
  • Current status and symptoms

Example Documentation

Patient with history of SAH (I60.1) in 2020, treated with coiling. No residual deficits. Current visit for routine follow-up.

Examples: Poor vs. Good Documentation

Poor Documentation Example
SAH in past.
Good Documentation Example
History of SAH (I60.1) in 2020, treated with coiling, no residual deficits.
Explanation
The good example provides specific details about the history and treatment, supporting the use of Z86.73.

Need help with ICD-10 coding for History of Subarachnoid Hemorrhage? Ask your questions below.

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