2025 ICD-10-CM code I61.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Nontraumatic intracerebral hemorrhage Diseases of the circulatory system (I00-I99) Feed
Nontraumatic intracerebral hemorrhage, unspecified.
Not applicable to ICD-10 codes.
Medical necessity for the diagnosis is established by the presence of clinical findings suggestive of intracerebral hemorrhage, confirmed by imaging studies. The severity of symptoms and potential for neurological deterioration justify the diagnostic and treatment interventions.
The clinical responsibility for this diagnosis lies with the physician or healthcare provider who manages the patient's care, including diagnosis, treatment, and monitoring. This would include neurologists, neurosurgeons, or other specialists depending on the patient’s condition and treatment plan.The responsibility extends to appropriate documentation and coding to ensure accurate billing.
In simple words: This code means there's been bleeding inside the brain that wasn't caused by an injury.Doctors use this code when they don't have all the details about where the bleeding happened.
This code signifies a hemorrhage (bleeding) within the brain tissue that is not caused by trauma.It is unspecified, meaning the exact location and other details are not specified in the medical record.Additional codes may be required to specify location (e.g., hemisphere, brainstem, cerebellum) and contributing factors (e.g., hypertension, alcohol abuse).
Example 1: A 65-year-old male presents with sudden onset of severe headache, loss of consciousness, and right-sided weakness.CT scan reveals a large intracerebral hemorrhage in the left hemisphere.Code I61.9 is used, along with additional codes specifying the location and severity., A 72-year-old female with a history of hypertension experiences sudden dizziness and confusion.MRI shows a small, deep intracerebral hemorrhage in an unspecified location. Code I61.9 is used due to the lack of precise location information., A 50-year-old male with a history of alcohol abuse is admitted with symptoms consistent with an intracerebral hemorrhage. Imaging reveals a hemorrhage in the cerebellum. I61.9 is assigned, along with codes specifying the location and the alcohol abuse.
Detailed clinical history, including the onset and progression of symptoms.Neurological examination findings.Imaging studies (CT scan or MRI) demonstrating the presence and location of the hemorrhage.Laboratory results, including complete blood count and coagulation studies.Treatment provided and response to treatment.
** This code should be used cautiously and only when the location of the hemorrhage is truly unspecified.Efforts should be made to obtain as much clinical detail as possible to ensure appropriate and specific coding.
- Revenue Code: Revenue codes will vary depending on the healthcare provider and payer.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures and services provided, which would be coded using CPT or HCPCS codes, and the payer's fee schedule.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Neurology, Neurosurgery
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital