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ICD-10 Guide
ICD-10 CodesI61.3

I61.3

Billable

Nontraumatic intracerebral hemorrhage in brain stem

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I61.3 is a billable code used to indicate a diagnosis of nontraumatic intracerebral hemorrhage in brain stem.

Key Diagnostic Point:

I61.3 refers to nontraumatic intracerebral hemorrhage occurring specifically in the brain stem. This condition is characterized by bleeding within the brain tissue itself, which can lead to significant neurological deficits. The brain stem is a critical area that controls many vital functions, including heart rate, breathing, and consciousness. Clinical presentation may include sudden onset of headache, nausea, vomiting, altered consciousness, and focal neurological deficits such as weakness or paralysis. The progression of the disease can vary, with some patients experiencing rapid deterioration, while others may have a more stable course. Diagnostic considerations include neuroimaging studies such as CT or MRI scans to confirm the presence and extent of hemorrhage. Risk factors often include hypertension, vascular malformations, and anticoagulant therapy, which can exacerbate bleeding. Prompt recognition and management are crucial to minimize morbidity and mortality associated with this condition.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misidentifying the site of hemorrhage.
  • Documentation gaps may arise if the clinical details of the hemorrhage are not thoroughly recorded.
  • Billing challenges can occur due to the need for detailed clinical evidence to support the diagnosis.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

I61.3 has significant clinical implications due to the critical functions controlled by the brain stem. The population health impact is notable, as intracerebral hemorrhages are a leading cause of morbidity and mortality in stroke patients. Quality measures focus on timely diagnosis and intervention, which can improve outcomes. Understanding healthcare utilization patterns is essential, as patients with this condition often require intensive monitoring and rehabilitation services, highlighting the need for effective management strategies.

ICD-9 vs ICD-10

I61.3 has significant clinical implications due to the critical functions controlled by the brain stem. The population health impact is notable, as intracerebral hemorrhages are a leading cause of morbidity and mortality in stroke patients. Quality measures focus on timely diagnosis and intervention, which can improve outcomes. Understanding healthcare utilization patterns is essential, as patients with this condition often require intensive monitoring and rehabilitation services, highlighting the need for effective management strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the necessity for acute care services. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include ensuring that all clinical notes are detailed and that imaging results are clearly linked to the diagnosis of nontraumatic intracerebral hemorrhage in the brain stem.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I61.3?

I61.3 specifically covers nontraumatic intracerebral hemorrhage located in the brain stem, which may arise from conditions such as hypertension, vascular malformations, or coagulopathy.

When should I61.3 be used instead of related codes?

I61.3 should be used when the hemorrhage is confirmed to be in the brain stem, differentiating it from other sites of intracerebral hemorrhage, which have their own specific codes.

What documentation supports I61.3?

Documentation should include imaging results confirming the location of the hemorrhage, clinical findings, and any relevant history of hypertension or anticoagulant use.