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ICD-10 Guide
ICD-10 CodesI62.9

I62.9

Billable

Nontraumatic intracranial hemorrhage, unspecified

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

Code Description

ICD-10 I62.9 is a billable code used to indicate a diagnosis of nontraumatic intracranial hemorrhage, unspecified.

Key Diagnostic Point:

Nontraumatic intracranial hemorrhage (ICH) refers to bleeding within the cranial cavity that occurs without an external injury. This condition can arise from various cardiovascular diseases, including hypertension, arteriovenous malformations, or aneurysms. Clinically, patients may present with sudden onset headache, altered consciousness, neurological deficits, or seizures. The anatomy involved typically includes the brain tissue, subarachnoid space, or ventricles, depending on the hemorrhage's location. Disease progression can vary; some patients may experience rapid deterioration, while others may have a more insidious onset. Diagnostic considerations include neuroimaging techniques such as CT or MRI scans, which are essential for identifying the presence and extent of the hemorrhage. Laboratory tests may also be conducted to assess coagulation status and rule out other causes of neurological symptoms. Understanding the underlying cardiovascular conditions contributing to ICH is crucial for effective management and prevention of future events.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical evaluation to differentiate from other causes of neurological symptoms.
  • Treatment complexity: Management may involve neurosurgical intervention, medical therapy, and rehabilitation.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary for accurate coding.
  • Coding specificity: While I62.9 is a broad code, it lacks specificity regarding the hemorrhage's location or cause.

Audit Risk Factors

  • Common coding errors: Misidentification of the type of hemorrhage or failure to document the underlying cause.
  • Documentation gaps: Incomplete clinical notes that do not specify the hemorrhage's characteristics or patient history.
  • Billing challenges: Potential denials due to lack of specificity or insufficient documentation to 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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Nontraumatic intracranial hemorrhage significantly impacts population health, contributing to morbidity and mortality associated with cardiovascular diseases. It is a leading cause of stroke and can result in long-term disability, affecting healthcare utilization patterns. Quality measures focus on timely diagnosis and intervention, which are critical for improving patient outcomes. Epidemiologically, the incidence of ICH is influenced by factors such as age, hypertension prevalence, and access to healthcare services.

ICD-9 vs ICD-10

Nontraumatic intracranial hemorrhage significantly impacts population health, contributing to morbidity and mortality associated with cardiovascular diseases. It is a leading cause of stroke and can result in long-term disability, affecting healthcare utilization patterns. Quality measures focus on timely diagnosis and intervention, which are critical for improving patient outcomes. Epidemiologically, the incidence of ICH is influenced by factors such as age, hypertension prevalence, and access to healthcare services.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of care provided, the necessity of imaging studies, and potential surgical interventions. Common denials may arise from insufficient documentation or failure to specify the hemorrhage's characteristics. Best practices include ensuring that all clinical notes are complete and that the rationale for diagnostic tests is clearly articulated in the medical record.

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 I62.9?

I62.9 encompasses various types of nontraumatic intracranial hemorrhages, including subarachnoid hemorrhage, intraparenchymal hemorrhage, and other unspecified types. It is important to differentiate these from traumatic causes and to consider underlying conditions such as hypertension or vascular malformations.

When should I62.9 be used instead of related codes?

I62.9 should be used when the specific type or cause of the nontraumatic intracranial hemorrhage is not documented. If the documentation specifies the type of hemorrhage (e.g., subarachnoid or intracerebral), then the more specific code should be utilized.

What documentation supports I62.9?

Documentation should include a detailed clinical assessment, neuroimaging results, and any relevant laboratory findings. It is essential to document the patient's history, presenting symptoms, and any underlying cardiovascular conditions that may have contributed to the hemorrhage.