I61.9
BillableNontraumatic intracerebral hemorrhage, unspecified
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 tissue not caused by trauma, but the specific location within the brain is not documented or specified.
Coding Tips
- •This is a less specific code; query the provider for more detailed location information when possible
- •Use only when the exact site of hemorrhage cannot be determined from documentation
Clinical Significance
Nontraumatic intracerebral hemorrhage, unspecified, is used when bleeding within the brain tissue is documented but the specific anatomical location cannot be determined. While it carries the same HCC weight as specified codes, it represents a documentation opportunity for improvement. This remains a serious acute cerebrovascular event with high mortality and significant implications for patient care intensity.
Documentation Requirements
- ✓Imaging confirmation of intracerebral hemorrhage
- ✓Documentation of nontraumatic cause
- ✓Clinical presentation including headache, altered mental status, or focal neurological deficits
- ✓Documentation explaining why the specific location could not be determined
- ✓Treatment plan and neurological monitoring approach
- ✓Follow-up imaging plan to monitor evolution
Commonly Confused Codes
I61.0-I61.6 — Specific location intracerebral hemorrhages; always preferred when location is documentedI61.8 — Other specified intracerebral hemorrhage; for known but uncommon locationsI62.9 — Unspecified intracranial hemorrhage; even broader, includes subdural and epiduralI60.9 — Subarachnoid hemorrhage, unspecified; different anatomical compartment
Code Hierarchy
└I61Nontraumatic intracerebral hemorrhage└I61.9Nontraumatic intracerebral hemorrhage, unspecified
└I61.9Nontraumatic intracerebral hemorrhage, unspecified