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2025 ICD-10-CM code I60.8

Other nontraumatic subarachnoid hemorrhage, including meningeal hemorrhage and rupture of a cerebral arteriovenous malformation.

Consult the official ICD-10-CM coding guidelines for specific instructions and any updates to the code.Use additional codes if necessary to capture comorbidities or other relevant conditions.

Modifiers may be applicable depending on the circumstances of the encounter.Consult local payer guidelines for specifics.

Medical necessity is established by the presence of clinical symptoms and signs consistent with subarachnoid hemorrhage.Imaging studies confirming the diagnosis provide definitive evidence for medical necessity.

Neurologist, neurosurgeon, or other physician managing the patient's cerebrovascular event.The clinical responsibility includes diagnosis, treatment, and management of the hemorrhage, including monitoring for complications and providing appropriate medical care.

IMPORTANT:Use additional code to specify the NIHSS score (R29.7-), if known.Excludes syphilitic ruptured cerebral aneurysm (A52.05) and sequelae of subarachnoid hemorrhage (I69.0-).

In simple words: This code describes bleeding in the brain or surrounding membranes that isn't caused by an injury.It covers bleeding that doesn't come from a specific artery, bleeding in the protective layers around the brain, or bleeding from a tangle of abnormal blood vessels.

This code encompasses nontraumatic subarachnoid hemorrhages not specified by origin.It includes hemorrhages not originating from a specific intracranial artery, meningeal hemorrhages (bleeding into the membranes surrounding the brain), and ruptures of cerebral arteriovenous malformations (abnormal tangles of blood vessels in the brain).

Example 1: A 55-year-old patient presents with sudden, severe headache, nuchal rigidity (stiff neck), and altered mental status.Imaging reveals a subarachnoid hemorrhage of undetermined origin.Code I60.8 is used to document the hemorrhage., A 30-year-old patient with a known cerebral arteriovenous malformation experiences a sudden, severe headache and loss of consciousness.Imaging confirms a subarachnoid hemorrhage resulting from the malformation's rupture. Code I60.8 is applied., A 70-year-old patient presents with symptoms suggestive of a subarachnoid hemorrhage.Imaging reveals a meningeal hemorrhage; the precise arterial source remains unclear. I60.8 is used to bill for this case.

Detailed patient history, including onset and character of symptoms.Neurological examination findings.Imaging studies (CT scan, MRI) confirming the diagnosis and specifying location and extent of bleeding.Any additional diagnostic testing performed.Treatment details including medication and procedures.Documentation should specify if the hemorrhage is related to an underlying condition such as a cerebral arteriovenous malformation or aneurysm.

** Always verify the most up-to-date coding guidelines before using this code.This code is used for nontraumatic subarachnoid hemorrhages when the specific arterial source is unknown or not specified.

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