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ICD-10 Coding for Ruptured Brain Aneurysm(I60.00, I60.01)

Complete ICD-10-CM coding and documentation guide for Ruptured Brain Aneurysm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Ruptured Cerebral AneurysmSubarachnoid Hemorrhage from Aneurysm

Related ICD-10 Code Ranges

Complete code families applicable to Ruptured Brain Aneurysm

I60.00-I60.9Primary Range

Nontraumatic subarachnoid hemorrhage

This range covers subarachnoid hemorrhages due to ruptured aneurysms, specifying the location of the aneurysm.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I60.00Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcation, unspecified sideUse when the hemorrhage is confirmed from the carotid siphon but the side is not specified.
  • CT or MRI showing SAH
  • Angiography confirming aneurysm location
I60.01Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcationUse when the hemorrhage is confirmed from the right carotid siphon.
  • CT or MRI showing SAH
  • Angiography confirming right carotid siphon aneurysm

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 ruptured brain aneurysm

Essential facts and insights about Ruptured Brain Aneurysm

The ICD-10 code for a ruptured brain aneurysm is within the I60 range, specifying location and laterality.

Primary ICD-10-CM Codes for ruptured brain aneurysm

Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcation, unspecified side
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed SAH from carotid siphon without specified side

Applicable To

  • SAH from carotid siphon

Excludes

Clinical Validation Requirements

  • CT or MRI showing SAH
  • Angiography confirming aneurysm location

Code-Specific Risks

  • Risk of using unspecified side when laterality is documented

Coding Notes

  • Ensure documentation specifies the aneurysm location and confirms nontraumatic origin.

Ancillary Codes

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

Cerebral vasospasm

I67.1
Use when vasospasm is a complication of the SAH.

Differential Codes

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

Nontraumatic intracerebral hemorrhage, unspecified

I61.9
Use I61.9 for intracerebral hemorrhages not due to aneurysm rupture.

Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation

I60.02
Use I60.02 when the left side is confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Ruptured Brain Aneurysm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I60.00.

Impact

Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.

Mitigation Strategy

Use structured templates for documentation, Verify imaging reports for location details

Impact

Reimbursement: May lead to lower reimbursement rates due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreases the quality of clinical data for patient records.

Mitigation Strategy

Always verify and use the specific laterality code when available.

Impact

Audits may focus on the specificity of aneurysm location and laterality.

Mitigation Strategy

Ensure thorough documentation and use of specific codes.

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 Ruptured Brain Aneurysm, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Ruptured Brain Aneurysm

Use these documentation templates to ensure complete and accurate documentation for Ruptured Brain Aneurysm. These templates include all required elements for proper coding and billing.

Acute presentation of ruptured brain aneurysm

Specialty: Neurology

Required Elements

  • Patient history of headache onset
  • Imaging results confirming SAH
  • Aneurysm location and size

Example Documentation

Patient presents with sudden severe headache. CT shows SAH. Angiography confirms 5mm aneurysm at right MCA bifurcation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
SAH due to aneurysm.
Good Documentation Example
Acute SAH from 5mm ruptured right MCA aneurysm confirmed by CTA.
Explanation
The good example provides specific location and imaging confirmation, improving coding accuracy.

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