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ICD-10 Guide
ICD-10 CodesI61.4

I61.4

Billable

Nontraumatic intracerebral hemorrhage in cerebellum

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

Code Description

ICD-10 I61.4 is a billable code used to indicate a diagnosis of nontraumatic intracerebral hemorrhage in cerebellum.

Key Diagnostic Point:

I61.4 refers to nontraumatic intracerebral hemorrhage occurring specifically in the cerebellum, a critical region of the brain responsible for coordination and balance. This condition typically arises from the rupture of small blood vessels due to hypertension, vascular malformations, or amyloid angiopathy, leading to bleeding within the brain tissue. Clinically, patients may present with symptoms such as sudden onset of headache, nausea, vomiting, dizziness, and ataxia, which can progress to more severe neurological deficits depending on the extent of the hemorrhage. The cerebellum's involvement can lead to significant motor impairment and coordination issues. Diagnostic considerations include neuroimaging techniques such as CT or MRI scans to confirm the presence and extent of the hemorrhage. The disease progression can vary, with some patients experiencing rapid deterioration while others may stabilize or improve with appropriate medical management. Early recognition and intervention are crucial to minimize complications and improve outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical assessment to differentiate from other types of strokes.
  • Treatment complexity: Management may involve neurosurgical intervention or medical management depending on the severity.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential for accurate coding.
  • Coding specificity: Requires precise documentation to differentiate from other intracerebral hemorrhages.

Audit Risk Factors

  • Common coding errors: Misclassification with other types of strokes or hemorrhages.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports can lead to coding inaccuracies.
  • Billing challenges: Potential denials if documentation does not support the severity or specifics of the condition.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I61.4 lies in its potential to cause severe neurological deficits and impact patient quality of life. Population health impact includes the burden of stroke-related morbidity and mortality, particularly in populations with high rates of hypertension. Quality measures may focus on timely diagnosis and intervention, which can improve outcomes. Healthcare utilization patterns often reflect increased emergency department visits and hospital admissions for patients presenting with symptoms of intracerebral hemorrhage.

ICD-9 vs ICD-10

The clinical significance of I61.4 lies in its potential to cause severe neurological deficits and impact patient quality of life. Population health impact includes the burden of stroke-related morbidity and mortality, particularly in populations with high rates of hypertension. Quality measures may focus on timely diagnosis and intervention, which can improve outcomes. Healthcare utilization patterns often reflect increased emergency department visits and hospital admissions for patients presenting with symptoms of intracerebral hemorrhage.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the necessity of imaging studies. Common denials may arise from insufficient documentation or lack of clarity regarding the cause of the hemorrhage. Best practices include ensuring that all clinical notes are complete and that imaging results are clearly linked to the diagnosis. Additionally, coders should be aware of payer-specific guidelines that may affect reimbursement.

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 I61.4?

I61.4 specifically covers nontraumatic intracerebral hemorrhage occurring in the cerebellum, which can result from conditions such as hypertension, vascular malformations, or amyloid angiopathy. It does not include hemorrhages due to trauma or other brain regions.

When should I61.4 be used instead of related codes?

I61.4 should be used when the hemorrhage is confirmed to be nontraumatic and localized to the cerebellum. It is important to differentiate it from other intracerebral hemorrhages (I61.0-I61.3) based on the specific location and cause.

What documentation supports I61.4?

Documentation supporting I61.4 should include detailed clinical notes describing the patient's symptoms, results from neuroimaging studies (CT or MRI), and any relevant laboratory findings that indicate the cause of the hemorrhage.