2025 ICD-10-CM code I61
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Cerebrovascular diseases IX Feed
Nontraumatic intracerebral hemorrhage. Use additional code to specify NIHSS score if known.
Modifiers may be applicable depending on the circumstances of the procedure, such as location of service or type of imaging used.
Medical necessity is established by the presence of symptoms and signs consistent with intracerebral hemorrhage, confirmed by neuroimaging.Treatment is medically necessary to manage the hemorrhage, prevent further neurological damage, and improve the patient's outcome.
Diagnosis and management of nontraumatic intracerebral hemorrhage, including neurological examination, neuroimaging (CT, MRI), assessment of stroke severity (NIHSS), and management of complications.
In simple words: Bleeding inside the brain that wasn't caused by an injury.Doctors may use extra codes to show how severe the bleeding is.
Nontraumatic intracerebral hemorrhage is bleeding within the brain not caused by trauma.This code should be used to indicate a nontraumatic intracerebral hemorrhage.An additional code should be used if the National Institutes of Health Stroke Scale (NIHSS) score is known (R29.7-).
Example 1: A 65-year-old patient presents with sudden onset of severe headache, hemiparesis, and altered mental status. CT scan reveals a large intracerebral hemorrhage in the right parietal lobe.The patient is diagnosed with I61 and treated with supportive care, including blood pressure management and monitoring for cerebral edema., A 70-year-old patient with hypertension experiences a sudden loss of consciousness.MRI shows a small intracerebral hemorrhage in the basal ganglia.The patient receives anticoagulant reversal and intensive blood pressure control. I61 is coded along with codes for hypertension and the specific location of the hemorrhage., An 80-year-old patient with atrial fibrillation presents with progressive weakness and aphasia.A CT scan reveals a small intracerebral hemorrhage.This is coded as I61, with additional codes for atrial fibrillation and the affected neurological functions.
Detailed history, physical examination findings, neurological exam, neuroimaging reports (CT or MRI with precise location and size of hemorrhage), NIHSS score (if available), laboratory results (CBC, coagulation studies), treatment plan, and progress notes.
** The information provided is for reference only.Always consult the latest ICD-10-CM coding guidelines and your payer's specific requirements for accurate billing.
- Payment Status: Active
- Specialties:Neurology, Neurosurgery
- Place of Service:Inpatient Hospital, Emergency Room - Hospital