I62.00
BillableNontraumatic subdural 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 between the brain and the outermost membrane covering the brain (subdural space), not caused by trauma, with timing not specified.
Coding Tips
Clinical Significance
Nontraumatic subdural hemorrhage, unspecified, represents bleeding between the brain surface and the dural membrane when the timing (acute, subacute, or chronic) is not documented. Subdural hemorrhages are significant for risk adjustment as they indicate serious intracranial pathology requiring monitoring, potential surgical intervention, and careful anticoagulation management. Accurate coding captures the complexity of these patients.
Documentation Requirements
- ✓Imaging confirmation (CT or MRI) of subdural hemorrhage
- ✓Documentation of nontraumatic etiology, ruling out head injury
- ✓Clinical presentation and neurological status
- ✓Documentation explaining why acute, subacute, or chronic classification cannot be determined
- ✓Evaluation for underlying causes such as anticoagulation therapy or coagulopathy
- ✓Treatment plan including surgical vs. conservative management decision
Commonly Confused Codes
I62.01 — Acute nontraumatic subdural hemorrhage; use when timing is within 72 hoursI62.02 — Subacute nontraumatic subdural hemorrhage; use for 4-20 day durationI62.03 — Chronic nontraumatic subdural hemorrhage; use for duration greater than 20 daysS06.5X — Traumatic subdural hemorrhage; use when caused by head injury or traumaI62.1 — Nontraumatic extradural hemorrhage; bleeding between skull and dura, not under the dura
Code Hierarchy
└I62Other and unspecified nontraumatic intracranial hemorrhage└I62.0Nontraumatic subdural hemorrhage└I62.00Nontraumatic subdural hemorrhage, unspecified
└I62.00Nontraumatic subdural hemorrhage, unspecified