Nontraumatic chronic subdural hemorrhage
ICD-10 I62.03 is a billable code used to indicate a diagnosis of nontraumatic chronic subdural hemorrhage.
Nontraumatic chronic subdural hemorrhage (CSDH) is a collection of blood on the surface of the brain that occurs without a preceding trauma, often resulting from the rupture of bridging veins due to age-related brain atrophy or coagulopathy. Clinically, patients may present with symptoms such as headache, cognitive decline, seizures, and focal neurological deficits, which can develop insidiously over weeks to months. The anatomy involved primarily includes the dura mater, the arachnoid mater, and the underlying cerebral cortex. Disease progression can lead to increased intracranial pressure, further neurological deterioration, and potentially life-threatening complications if left untreated. Diagnostic considerations include neuroimaging techniques such as CT or MRI scans, which can reveal the presence of a crescent-shaped collection of blood. It is crucial to differentiate CSDH from other types of hemorrhages, such as traumatic subdural hematomas or intracerebral hemorrhages, to ensure appropriate management and intervention.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I62.03 specifically covers nontraumatic chronic subdural hemorrhage, which may arise from various underlying conditions such as anticoagulant therapy, coagulopathy, or spontaneous rupture of bridging veins, particularly in elderly patients.
I62.03 should be used when the subdural hemorrhage is confirmed to be nontraumatic in nature, distinguishing it from codes related to traumatic causes, such as I62.01, which is reserved for hemorrhages resulting from head injury.
Documentation supporting I62.03 should include a comprehensive clinical evaluation, neuroimaging results confirming the presence of chronic subdural hemorrhage, and a detailed history that rules out any traumatic events.
