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2025 ICD-10-CM code I61.6

Nontraumatic intracerebral hemorrhage, multiple localized.

Use additional codes to identify any contributing factors, such as hypertension (I10-I1A) or tobacco use (Z72.0).If NIHSS score is available, use code R29.7-.

Medical necessity is established by the presence of signs, symptoms, and imaging findings consistent with intracerebral hemorrhage.Further investigation may be required to determine the cause and guide appropriate treatment.

Clinicians should document the specific location and size of the hemorrhage(s), associated neurological deficits, and any contributing factors like hypertension or coagulopathy.

In simple words: Bleeding has occurred in several specific spots within the brain, not due to an injury.

Multiple localized areas of bleeding within the brain parenchyma, not caused by trauma.

Example 1: A patient presents with sudden onset of severe headache, vomiting, and altered mental status. CT scan reveals multiple small areas of bleeding within the brain parenchyma, consistent with a diagnosis of nontraumatic intracerebral hemorrhage, multiple localized., A patient with a history of hypertension experiences a seizure. MRI reveals multiple pinpoint hemorrhages in the basal ganglia, indicating nontraumatic intracerebral hemorrhage, multiple localized., A patient on anticoagulant therapy develops sudden weakness and difficulty speaking. Imaging reveals multiple areas of bleeding within the cerebral cortex, confirming nontraumatic intracerebral hemorrhage, multiple localized.

Type of hemorrhage, location and number of hemorrhages, and any underlying conditions or contributing factors (e.g., hypertension, anticoagulant therapy).

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