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I61.9

Billable

Nontraumatic intracerebral hemorrhage, unspecified

HCC Category Mapping

V28HCC 248Cerebral Hemorrhage
0.289
V24HCC 99Intracranial Hemorrhage
0.262
ESRDHCC 99Intracranial Hemorrhage
0.000

What 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

Code Hierarchy

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