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ICD-10 Guide
ICD-10 CodesI62.00

I62.00

Billable

Nontraumatic subdural hemorrhage, unspecified

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

Code Description

ICD-10 I62.00 is a billable code used to indicate a diagnosis of nontraumatic subdural hemorrhage, unspecified.

Key Diagnostic Point:

Nontraumatic subdural hemorrhage (SDH) is a condition characterized by the accumulation of blood between the dura mater and the brain, typically resulting from the rupture of bridging veins. This condition can arise spontaneously due to various factors, including hypertension, coagulopathy, or the use of anticoagulant medications. Clinically, patients may present with symptoms such as headache, confusion, seizures, or focal neurological deficits, which can vary significantly based on the volume of blood and the rate of accumulation. The anatomy involved includes the dura mater, the arachnoid mater, and the underlying cerebral cortex. Disease progression can lead to increased intracranial pressure, brain herniation, and potentially fatal outcomes if not addressed promptly. Diagnostic considerations include neuroimaging techniques such as CT or MRI scans, which can reveal the presence and extent of the hemorrhage. It is crucial to differentiate nontraumatic SDH from traumatic causes, as the management and underlying etiologies may differ significantly.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation to confirm diagnosis.
  • Treatment complexity: May involve surgical intervention, especially in symptomatic cases.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires accurate coding to differentiate from traumatic causes.

Audit Risk Factors

  • Common coding errors: Misclassification with traumatic subdural hemorrhage codes.
  • Documentation gaps: Insufficient clinical details regarding the absence of trauma.
  • Billing challenges: Potential denials due to lack of clear diagnostic criteria.

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

Nontraumatic subdural hemorrhage has significant clinical implications, particularly in older adults and those with underlying vascular conditions. Its impact on population health includes increased morbidity and mortality rates, necessitating effective management strategies. Quality measures may focus on timely diagnosis and intervention to prevent complications. Understanding healthcare utilization patterns related to this condition can inform resource allocation and improve patient outcomes, especially in emergency settings.

ICD-9 vs ICD-10

Nontraumatic subdural hemorrhage has significant clinical implications, particularly in older adults and those with underlying vascular conditions. Its impact on population health includes increased morbidity and mortality rates, necessitating effective management strategies. Quality measures may focus on timely diagnosis and intervention to prevent complications. Understanding healthcare utilization patterns related to this condition can inform resource allocation and improve patient outcomes, especially in emergency settings.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the complexity of treatment provided. Common denials may arise from insufficient documentation or failure to demonstrate the nontraumatic nature of the hemorrhage. Best practices include ensuring that all clinical notes, imaging reports, and treatment plans are thoroughly documented and aligned with the coding guidelines to minimize audit risks.

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 I62.00?

I62.00 covers nontraumatic subdural hemorrhage that is not specified as due to any particular cause, including spontaneous hemorrhages related to vascular issues or coagulopathy.

When should I62.00 be used instead of related codes?

I62.00 should be used when the subdural hemorrhage is confirmed to be nontraumatic and no specific cause is identified, differentiating it from codes that specify trauma or anticoagulant-related hemorrhages.

What documentation supports I62.00?

Documentation should include clinical notes detailing the patient's history, physical examination findings, imaging results, and any relevant laboratory tests that support the diagnosis of nontraumatic subdural hemorrhage.