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ICD-10 Guide
ICD-10 CodesI62.1

I62.1

Billable

Nontraumatic extradural hemorrhage

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

Code Description

ICD-10 I62.1 is a billable code used to indicate a diagnosis of nontraumatic extradural hemorrhage.

Key Diagnostic Point:

Nontraumatic extradural hemorrhage (EDH) is a type of bleeding that occurs between the outer membrane of the brain (dura mater) and the skull, typically resulting from vascular issues such as arterial rupture or venous bleeding. Clinically, patients may present with sudden onset of severe headache, altered consciousness, or neurological deficits, often following a period of lucidity. The anatomy involved includes the dura mater, the skull, and the underlying brain tissue. Disease progression can be rapid, leading to increased intracranial pressure and potential brain herniation if not promptly addressed. Diagnostic considerations include imaging studies such as CT or MRI scans to confirm the presence of the hemorrhage and assess its size and impact on surrounding structures. Early recognition and intervention are crucial to prevent serious complications or mortality.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors include misclassification with traumatic hemorrhages.
  • Documentation gaps may arise from insufficient detail on the patient's clinical presentation or imaging findings.
  • Billing challenges often stem from the need for extensive documentation to justify the medical necessity of imaging and treatment.

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

Nontraumatic extradural hemorrhage has significant clinical implications, as timely diagnosis and treatment can greatly affect patient outcomes. It is crucial for population health, particularly in older adults or those with pre-existing vascular conditions. Quality measures may include monitoring the time to intervention and outcomes following treatment. Understanding the epidemiology of this condition helps healthcare providers anticipate and manage cases effectively.

ICD-9 vs ICD-10

Nontraumatic extradural hemorrhage has significant clinical implications, as timely diagnosis and treatment can greatly affect patient outcomes. It is crucial for population health, particularly in older adults or those with pre-existing vascular conditions. Quality measures may include monitoring the time to intervention and outcomes following treatment. Understanding the epidemiology of this condition helps healthcare providers anticipate and manage cases effectively.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of imaging studies and potential surgical interventions. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include ensuring that all clinical findings and imaging results are clearly documented and that coding aligns with the services provided.

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 I62.1?

I62.1 covers nontraumatic extradural hemorrhage resulting from vascular events such as arterial rupture, often associated with conditions like hypertension or vascular malformations. It does not include traumatic causes, which are coded separately.

When should I62.1 be used instead of related codes?

I62.1 should be used when the hemorrhage is confirmed to be nontraumatic and specifically extradural. If the hemorrhage is subdural or traumatic, the appropriate codes (I62.0 or S06.4) should be selected.

What documentation supports I62.1?

Documentation should include clinical notes detailing the patient's symptoms, imaging results confirming the extradural hemorrhage, and any relevant medical history that may contribute to the condition, such as hypertension or anticoagulant use.