2025 ICD-10-CM code I61.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Nontraumatic intracerebral hemorrhage Chapter 9: Diseases of the circulatory system Feed
Other nontraumatic intracerebral hemorrhage; bleeding within the brain not caused by trauma.
Modifiers may be applicable depending on the circumstances of the encounter and the specific payer guidelines.Consult your payer's guidelines.
Medical necessity for I61.8 is established by the presence of a clinically significant nontraumatic intracerebral hemorrhage causing neurological deficits requiring acute medical intervention, such as hospitalization, surgery or intensive care.
Neurologist, Neurosurgeon
In simple words: This code means there's been bleeding inside the brain that wasn't caused by an injury.The bleeding is in the brain tissue itself and can be caused by high blood pressure or other health problems.Doctors use this code when they can't describe the exact location or type of bleeding more specifically.
This code classifies other nontraumatic intracerebral hemorrhages.It encompasses bleeding into the brain substance (cerebral hemispheres, including the basal ganglia and cerebral cortex), not resulting from injury.The hemorrhage may be associated with hypertension or other underlying conditions.This code should be used when the specific location or type of nontraumatic intracerebral hemorrhage cannot be specified using more precise codes from the I61 category. Additional codes may be necessary to specify contributing factors like hypertension (I10-I13) or the National Institutes of Health Stroke Scale (NIHSS) score (R29.7-).
Example 1: A 65-year-old male patient presents with sudden onset of severe headache, weakness on one side of the body, and slurred speech.A CT scan reveals a spontaneous intracerebral hemorrhage in the left parietal lobe.No history of trauma. I61.8 is coded., A 72-year-old female patient with a history of hypertension experiences a sudden loss of consciousness.Imaging reveals a small, deep intracerebral hemorrhage in the basal ganglia. The precise location and cause cannot be definitively determined. I61.8 is coded., A 50-year-old patient with an arteriovenous malformation (AVM) in the right frontal lobe experiences a sudden severe headache and neurological deficits. Imaging demonstrates hemorrhage related to the AVM. I61.8 is coded.Additional codes would be needed to document the AVM.
Detailed clinical history, including the onset, duration, and character of symptoms.Neurological examination findings.Imaging results (CT scan, MRI) specifying the location, size, and extent of the hemorrhage.Presence of any risk factors such as hypertension, anticoagulant use, or bleeding disorders.National Institutes of Health Stroke Scale (NIHSS) score if applicable.
** This code is often used in conjunction with other codes to capture the complete clinical picture.Accurate coding requires a thorough review of all documentation to identify the most precise code to use.
- Payment Status: Active
- Specialties:Neurology, Neurosurgery
- Place of Service:Inpatient Hospital, Emergency Room - Hospital,Outpatient Hospital