Intracranial Hemorrhage ICD-10-CM Codes

Discover the precise ICD-10-CM codes for intracranial hemorrhage. Accurate classification for effective diagnosis and treatment.

By Joshua Napilay on Feb 29, 2024.

Fact Checked by Nate Lacson.

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 Intracranial Hemorrhage ICD-10-CM Codes

What ICD-10 Codes are Used for Intracranial Hemorrhage 

Intracranial hemorrhage refers to bleeding within the skull, potentially leading to severe complications. The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) provides specific codes to classify and document different types of intracranial hemorrhage. Here are several commonly used codes:

I61.0 - Nontraumatic subarachnoid hemorrhage: 

This code describes bleeding into the space between the arachnoid membrane and the brain tissue, typically caused by the rupture of an aneurysm or vascular malformation. It can lead to severe headaches and neurological deficits.

I61.1 - Intracerebral hemorrhage: 

This code is used for bleeding within the brain tissue, often resulting from hypertension or ruptured blood vessels. It can cause sudden, severe neurological symptoms, such as weakness, loss of coordination, and altered consciousness.

I61.3 - Hemorrhagic infarction: 

This code is used for cases of bleeding within an area of brain tissue affected by an ischemic stroke. It typically occurs due to reperfusion injury and can worsen the overall prognosis of the stroke.

I62.9 - Intracranial hemorrhage, unspecified

This code is used when the type of intracranial hemorrhage is not specified or is unknown. It should be used cautiously, as the specific type of hemorrhage provides crucial diagnostic and prognostic information.

I60.9 - Subarachnoid hemorrhage, unspecified: 

This code is used when the subarachnoid hemorrhage is not specified or is of unknown origin. It is essential to strive for a more specific diagnosis whenever possible to guide appropriate management.

I62.0 - Subdural hemorrhage: 

This code is used to describe bleeding that occurs between the dura mater and the brain tissue. It often results from head trauma, such as falls or motor vehicle accidents. Symptoms can range from subtle to life-threatening, depending on the severity of the bleeding.

I62.8 - Other specified intracranial hemorrhages: 

This code is used for specific types of intracranial hemorrhages not covered by other codes. It includes hemorrhages in specific locations, such as the ventricles or cerebellum, or those related to specific conditions, such as anticoagulant use.

I63.5 - Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries:

This code is used when a cerebral infarction occurs due to unspecified occlusion or stenosis of cerebral arteries, resulting in tissue death and subsequent bleeding.

I69.32 - Hemiplegia and hemiparesis following intracranial hemorrhage: 

This code is used when paralysis or weakness affects one side of the body following an intracranial hemorrhage. It indicates the functional impact of the hemorrhage on the patient.

I60.1 - Nontraumatic subdural hemorrhage: 

This code is used when bleeding between the dura mater and the brain tissue without an apparent traumatic cause. It is often associated with chronic subdural hematomas and can present with nonspecific neurological symptoms

Which Intracranial Hemorrhage ICD codes are Billable: 

I61.0 - Nontraumatic subarachnoid hemorrhage: 

Yes, this code is billable as it specifies a type of intracranial hemorrhage that occurs due to the rupture of an aneurysm or vascular malformation.

I61.1 - Intracerebral hemorrhage: 

Yes, this code is billable as it denotes bleeding within the brain tissue, often caused by hypertension or ruptured blood vessels.

I61.3 - Hemorrhagic infarction: 

Yes, this code is billable as it indicates bleeding within an area of brain tissue affected by an ischemic stroke, which can worsen the overall prognosis.

I62.9 - Intracranial hemorrhage, unspecified: 

Yes, this code is billable but should be used cautiously. Although it represents an unspecified type of intracranial hemorrhage, it still allows for billing and serves as a placeholder until a more specific diagnosis is obtained.

I60.9 - Subarachnoid hemorrhage, unspecified: 

Yes, this code is billable. While it represents an unspecified subarachnoid hemorrhage, it can be used for billing until a more specific diagnosis is made.

I62.0 - Subdural hemorrhage: 

Yes, this code is billable as it describes bleeding between the dura mater and the brain tissue, often resulting from head trauma.

I62.8 - Other specified intracranial hemorrhages: 

Yes, this code is billable as it covers specific types of intracranial hemorrhages not included in other codes, such as hemorrhages in specific locations or related to certain conditions.

I63.5 - Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries: 

Yes, this code is billable as it signifies cerebral infarction resulting from unspecified occlusion or stenosis of cerebral arteries, leading to tissue death and subsequent bleeding.

I69.32 - Hemiplegia and hemiparesis following intracranial hemorrhage: 

Yes, this code is billable as it represents paralysis or weakness affecting one side of the body following an intracranial hemorrhage, indicating the functional impact on the patient.

I60.1 - Nontraumatic subdural hemorrhage: 

This code is billable as it denotes bleeding between the dura mater and the brain tissue without an apparent traumatic cause, often associated with chronic subdural hematomas.

Clinical Information

Intracranial hemorrhage refers to bleeding that occurs within the skull, leading to the accumulation of blood in or around the brain. It is a severe medical condition that requires prompt evaluation and treatment. Here are some clinical insights regarding intracranial hemorrhage:

  • Intracranial hemorrhage can be classified into different types, including subarachnoid, intracerebral, subdural, epidural, and intraventricular. Each type has distinct characteristics and causes.
  • Intracranial hemorrhage can be caused by various factors, including trauma, ruptured blood vessels (aneurysms or arteriovenous malformations), high blood pressure, bleeding disorders, anticoagulant medications, and certain medical conditions.
  • The symptoms of intracranial hemorrhage depend on the location, extent, and rate of bleeding. Common signs and symptoms include severe headache, sudden onset of neurological deficits (such as weakness or numbness), altered mental status, vomiting, seizures, and signs of increased intracranial pressure (such as changes in consciousness or pupillary abnormalities).
  • Diagnosis of intracranial hemorrhage typically involves a combination of medical history evaluation, neurological examination, imaging studies (such as CT scan or MRI), and sometimes lumbar puncture to assess the presence of blood in the cerebrospinal fluid.
  • Treatment for intracranial hemorrhage depends on various factors, including the type, location, and severity of the bleeding. It may involve stabilization of vital signs, surgical intervention (such as hematoma evacuation or aneurysm repair), medications to control blood pressure, seizure management, and supportive care in an intensive care setting.
  • The prognosis for intracranial hemorrhage varies depending on the size, location, and underlying cause. It can range from full recovery to severe disability or even death. Early recognition, prompt medical intervention, and appropriate follow-up care are crucial in improving outcomes.

Synonyms Include:

  • Cerebral bleeding
  • Brain hemorrhage
  • Intracranial bleed
  • Cranial hemorrhage
  • Hemorrhagic stroke
  • Bleeding in the brain
  • Intracerebral bleeding
  • Subarachnoid bleed
  • Subdural hematoma
  • Epidural hemorrhage
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Commonly asked questions

How is intracranial hemorrhage diagnosed in patients with coagulopathy or bleeding disorders?

Diagnosing intracranial hemorrhage in patients with coagulopathy or bleeding disorders typically involves clinical evaluation, laboratory tests to assess coagulation parameters, and imaging studies like MRI or CT scan.

Can intracranial hemorrhage be prevented in patients receiving anticoagulant therapy?

While not always possible to prevent, careful monitoring of coagulation parameters and appropriate dosing of anticoagulant therapy can help reduce the risk of intracranial hemorrhage.

How does intracranial hemorrhage differ in presentation and management in pediatric patients compared to adults?

Intracranial hemorrhage in pediatric patients may present differently and require specialized management, considering their unique anatomical and physiological characteristics.

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