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ICD-10 Guide
ICD-10 CodesI61.2

I61.2

Billable

Nontraumatic intracerebral hemorrhage in hemisphere, unspecified

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

Code Description

ICD-10 I61.2 is a billable code used to indicate a diagnosis of nontraumatic intracerebral hemorrhage in hemisphere, unspecified.

Key Diagnostic Point:

I61.2 refers to nontraumatic intracerebral hemorrhage occurring in the hemisphere of the brain, unspecified. This condition is characterized by bleeding within the brain tissue itself, which can lead to increased intracranial pressure and subsequent neurological deficits. The most common causes of nontraumatic intracerebral hemorrhage include hypertension, arteriovenous malformations, and cerebral aneurysms. Clinically, patients may present with sudden onset of headache, altered consciousness, focal neurological deficits, and seizures. The affected anatomy primarily involves the cerebral hemispheres, where the bleeding can disrupt normal brain function. Disease progression can vary; some patients may experience 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. Early recognition and management are crucial to minimize complications and improve outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

I61.2 has significant clinical implications, as intracerebral hemorrhages can lead to high morbidity and mortality rates. The condition is a major contributor to stroke-related disability, impacting population health and healthcare utilization patterns. Quality measures often focus on timely diagnosis and management of hemorrhagic strokes, highlighting the importance of effective treatment protocols and follow-up care.

ICD-9 vs ICD-10

I61.2 has significant clinical implications, as intracerebral hemorrhages can lead to high morbidity and mortality rates. The condition is a major contributor to stroke-related disability, impacting population health and healthcare utilization patterns. Quality measures often focus on timely diagnosis and management of hemorrhagic strokes, highlighting the importance of effective treatment protocols and follow-up care.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the necessity for advanced imaging studies. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all relevant clinical details are captured to support the use of I61.2 and associated procedure codes.

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 I61.2?

I61.2 covers nontraumatic intracerebral hemorrhages that occur in the cerebral hemispheres without a specified cause. It includes cases resulting from hypertension, vascular malformations, and other non-traumatic etiologies.

When should I61.2 be used instead of related codes?

I61.2 should be used when the hemorrhage is confirmed to be nontraumatic and located in the hemisphere, without further specification. If the hemorrhage is localized to a specific area, such as the basal ganglia or thalamus, other codes should be considered.

What documentation supports I61.2?

Documentation should include clinical findings, imaging results confirming the hemorrhage, and any relevant history of hypertension or vascular disease. Detailed notes on the patient's presentation and treatment plan are also essential.