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ICD-10 Guide
ICD-10 CodesI61.8

I61.8

Billable

Other nontraumatic intracerebral hemorrhage

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

Code Description

ICD-10 I61.8 is a billable code used to indicate a diagnosis of other nontraumatic intracerebral hemorrhage.

Key Diagnostic Point:

I61.8 refers to other nontraumatic intracerebral hemorrhage, which occurs when there is bleeding within the brain tissue itself, not due to trauma. This condition can arise from various underlying causes, including hypertension, vascular malformations, or coagulopathies. Clinically, patients may present with sudden onset of headache, neurological deficits, altered consciousness, or seizures, depending on the location and extent of the hemorrhage. The anatomy involved typically includes the cerebral cortex, basal ganglia, thalamus, or brainstem. 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 to confirm the presence and extent of hemorrhage, as well as laboratory tests to identify potential coagulopathy or other risk factors. Prompt diagnosis and management are crucial to minimize neurological damage 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, medical management of blood pressure, and rehabilitation.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential for accurate coding.
  • Coding specificity: Requires careful consideration of the underlying cause of the hemorrhage.

Audit Risk Factors

  • Common coding errors: Misclassification of hemorrhage type or cause.
  • Documentation gaps: Incomplete clinical notes regarding patient history or imaging findings.
  • Billing challenges: Potential for denials if documentation does not clearly support the diagnosis.

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 I61.8 lies in its potential for severe neurological impairment and high morbidity rates. It is crucial for population health as it contributes to the burden of stroke-related disabilities. Quality measures may include timely diagnosis and management of intracerebral hemorrhage, impacting healthcare utilization patterns. Epidemiologically, the incidence of nontraumatic intracerebral hemorrhage is influenced by factors such as age, hypertension prevalence, and access to healthcare, highlighting the need for preventive strategies in at-risk populations.

ICD-9 vs ICD-10

The clinical significance of I61.8 lies in its potential for severe neurological impairment and high morbidity rates. It is crucial for population health as it contributes to the burden of stroke-related disabilities. Quality measures may include timely diagnosis and management of intracerebral hemorrhage, impacting healthcare utilization patterns. Epidemiologically, the incidence of nontraumatic intracerebral hemorrhage is influenced by factors such as age, hypertension prevalence, and access to healthcare, highlighting the need for preventive strategies in at-risk populations.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of care provided, such as emergency interventions or surgical procedures. Common denials may arise from insufficient documentation of the clinical rationale for the diagnosis or treatment. Coders should ensure that all relevant clinical information is captured in the medical record to support the billing process and minimize the risk of audits.

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 I61.8?

I61.8 encompasses various nontraumatic intracerebral hemorrhages not classified elsewhere, including those due to vascular malformations, anticoagulant therapy complications, or other rare causes.

When should I61.8 be used instead of related codes?

I61.8 should be used when the intracerebral hemorrhage is not due to hypertension or other specified causes, ensuring accurate representation of the patient's condition.

What documentation supports I61.8?

Documentation should include detailed clinical assessments, imaging results confirming the hemorrhage, and notes on any underlying conditions contributing to the hemorrhage.