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ICD-10 Guide
ICD-10 CodesI61.5

I61.5

Billable

Nontraumatic intracerebral hemorrhage, intraventricular

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

Code Description

ICD-10 I61.5 is a billable code used to indicate a diagnosis of nontraumatic intracerebral hemorrhage, intraventricular.

Key Diagnostic Point:

I61.5 refers to nontraumatic intracerebral hemorrhage occurring within the ventricles of the brain. This condition is characterized by the accumulation of blood within the ventricular system, often resulting from hypertension, vascular malformations, or coagulopathies. Clinically, patients may present with sudden onset of headache, altered consciousness, neurological deficits, and signs of increased intracranial pressure. The anatomy involved includes the lateral, third, and fourth ventricles, which are critical for cerebrospinal fluid circulation. Disease progression can lead to severe complications such as hydrocephalus, brain herniation, and permanent neurological impairment. Diagnostic considerations include neuroimaging techniques such as CT or MRI scans to confirm the presence and extent of hemorrhage, alongside laboratory tests to evaluate coagulation status and identify underlying causes. Early recognition and management are crucial to improving outcomes and minimizing long-term disability.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical assessment to differentiate from other types of hemorrhages.
  • Treatment complexity: May involve surgical intervention, medical management, and rehabilitation.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary for accurate coding.
  • Coding specificity: Must specify the location and cause of the hemorrhage for proper coding.

Audit Risk Factors

  • Common coding errors: Misclassification of hemorrhage type or location.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports.
  • Billing challenges: Denials due to insufficient documentation or incorrect coding.

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

I61.5 has significant clinical implications, as intracerebral hemorrhages can lead to high morbidity and mortality rates. The population health impact is considerable, particularly in older adults and those with uncontrolled hypertension. Quality measures focus on timely diagnosis and intervention, which can improve outcomes and reduce healthcare utilization. Epidemiologically, the incidence of nontraumatic intracerebral hemorrhage is rising, emphasizing the need for effective management strategies.

ICD-9 vs ICD-10

I61.5 has significant clinical implications, as intracerebral hemorrhages can lead to high morbidity and mortality rates. The population health impact is considerable, particularly in older adults and those with uncontrolled hypertension. Quality measures focus on timely diagnosis and intervention, which can improve outcomes and reduce healthcare utilization. Epidemiologically, the incidence of nontraumatic intracerebral hemorrhage is rising, emphasizing the need for effective management strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the complexity of the treatment administered. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for procedures related to the hemorrhage. Best practices include ensuring that all clinical notes are complete and that imaging studies are clearly linked to the diagnosis.

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 I61.5?

I61.5 covers nontraumatic intracerebral hemorrhage specifically occurring in the ventricular system, which may arise from conditions such as hypertension, arteriovenous malformations, or anticoagulant therapy complications.

When should I61.5 be used instead of related codes?

I61.5 should be used when there is clear evidence of hemorrhage within the ventricles, differentiating it from other intracerebral hemorrhages that do not involve the ventricular system.

What documentation supports I61.5?

Documentation should include imaging results confirming ventricular hemorrhage, clinical notes detailing the patient's presentation, and any relevant laboratory findings that support the diagnosis.