I61.2

Billable

Nontraumatic intracerebral hemorrhage in hemisphere, unspecified

HCC Category Mapping

V28HCC 248 — Cerebral Hemorrhage

0.289

V24HCC 99 — Intracranial Hemorrhage

0.262

ESRDHCC 99 — Intracranial Hemorrhage

0.000

What This Code Means

Bleeding within the brain tissue in the cerebral hemisphere when the specific location (cortical or subcortical) is not specified.

Coding Tips

•Use this code only when hemisphere involvement is documented but the specific location within the hemisphere is unclear
•Query provider if possible to determine whether bleeding is cortical (I61.1) or subcortical (I61.0)

Clinical Significance

Nontraumatic intracerebral hemorrhage in the hemisphere without specification of cortical or subcortical location captures hemorrhagic strokes where imaging or documentation does not pinpoint the exact depth of bleeding. While it carries the same HCC weight as more specific codes, using this unspecified code may trigger audit scrutiny. It remains an important risk adjustment diagnosis reflecting severe acute cerebrovascular pathology.

Documentation Requirements

✓Imaging confirmation of hemorrhage within the cerebral hemisphere
✓Documentation of nontraumatic cause
✓Clinical presentation and neurological examination findings
✓Documentation explaining why subcortical vs. cortical specification is unavailable
✓Treatment and management plan
✓Follow-up imaging or monitoring plan

Commonly Confused Codes

I61.0 — Subcortical hemorrhage; use when imaging confirms deep structure involvement I61.1 — Cortical hemorrhage; use when bleeding is documented on the brain surface I61.9 — Unspecified intracerebral hemorrhage; even less specific, does not specify hemisphere involvement I61.3 — Brain stem hemorrhage; a different anatomical location entirely

Code Hierarchy

└I61Nontraumatic intracerebral hemorrhage └I61.2Nontraumatic intracerebral hemorrhage in hemisphere, unspecified

└I61.2Nontraumatic intracerebral hemorrhage in hemisphere, unspecified