I61.4
BillableNontraumatic intracerebral hemorrhage in cerebellum
HCC Category Mapping
V28HCC 248 — Cerebral Hemorrhage
0.289V24HCC 99 — Intracranial Hemorrhage
0.262ESRDHCC 99 — Intracranial Hemorrhage
0.000What This Code Means
Bleeding within the cerebellum, the part of the brain responsible for balance and coordination, not caused by trauma.
Coding Tips
- •Cerebellar hemorrhage is a distinct anatomical location; confirm documentation specifies cerebellum rather than other brain regions
- •This location is important for clinical management and prognosis; ensure accurate documentation review
Clinical Significance
Nontraumatic intracerebral hemorrhage in the cerebellum affects the brain region responsible for coordination, balance, and fine motor control. Cerebellar hemorrhages can cause rapid neurological deterioration due to posterior fossa compression and brainstem herniation. This is a high-acuity condition requiring urgent neurosurgical evaluation, and accurate coding is essential for reflecting the intensity of care needed.
Documentation Requirements
- ✓Imaging confirmation (CT or MRI) identifying hemorrhage specifically in the cerebellum
- ✓Documentation of nontraumatic etiology
- ✓Neurological examination documenting ataxia, vertigo, nystagmus, or other cerebellar signs
- ✓Assessment for hydrocephalus or brain stem compression
- ✓Neurosurgical consultation documentation
- ✓Treatment plan including potential surgical evacuation or conservative management rationale
Commonly Confused Codes
I61.3 — Brain stem hemorrhage; anatomically adjacent to cerebellum but a distinct structureI61.0 — Subcortical hemisphere hemorrhage; involves deep hemispheric structures, not the posterior fossaI61.5 — Intraventricular hemorrhage; cerebellar bleeds may extend into the fourth ventricleI61.9 — Unspecified intracerebral hemorrhage; should not be used when cerebellum is documented
Code Hierarchy
└I61Nontraumatic intracerebral hemorrhage└I61.4Nontraumatic intracerebral hemorrhage in cerebellum
└I61.4Nontraumatic intracerebral hemorrhage in cerebellum