I61.6
BillableNontraumatic intracerebral hemorrhage, multiple localized
HCC Category Mapping
V28HCC 248 — Cerebral Hemorrhage
0.289V24HCC 99 — Intracranial Hemorrhage
0.262ESRDHCC 99 — Intracranial Hemorrhage
0.000What This Code Means
Bleeding inside the brain occurring in multiple separate locations within the brain tissue, not caused by trauma.
Coding Tips
- •Document that hemorrhages are in multiple distinct locations rather than one large bleed
- •Ensure nontraumatic etiology is confirmed before assigning this code
Clinical Significance
Nontraumatic intracerebral hemorrhage involving multiple localized sites indicates simultaneous bleeding in several distinct brain areas, which is often associated with underlying coagulopathy, cerebral amyloid angiopathy, or metastatic disease. This presentation carries a particularly poor prognosis and reflects extremely high-acuity care needs. Accurate capture is essential for risk adjustment as these patients require intensive multidisciplinary management.
Documentation Requirements
- ✓Imaging confirmation (CT or MRI) showing hemorrhages in multiple distinct brain locations
- ✓Documentation that hemorrhages are in separate locations rather than a single large bleed with extension
- ✓Documentation of nontraumatic etiology
- ✓Evaluation for underlying causes such as coagulopathy, cerebral amyloid angiopathy, or metastatic disease
- ✓Coagulation studies and medication review (anticoagulants, antiplatelets)
- ✓Treatment plan addressing both the hemorrhages and underlying cause
Commonly Confused Codes
I61.0-I61.4 — Single-site intracerebral hemorrhages; use when bleeding is confined to one anatomical areaI61.5 — Intraventricular hemorrhage; a specific ventricular location, not multiple parenchymal sitesI61.8 — Other nontraumatic intracerebral hemorrhage; for unusual single locations not otherwise classifiedI61.9 — Unspecified intracerebral hemorrhage; less specific, should not be used when multiple sites are documented
Code Hierarchy
└I61Nontraumatic intracerebral hemorrhage└I61.6Nontraumatic intracerebral hemorrhage, multiple localized
└I61.6Nontraumatic intracerebral hemorrhage, multiple localized