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ICD-10 Coding for Intraventricular Hemorrhage(I61.5)

Complete ICD-10-CM coding and documentation guide for Intraventricular Hemorrhage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

IVHVentricular Hemorrhageinterventricular hemorrhage

Related ICD-10 Code Ranges

Complete code families applicable to Intraventricular Hemorrhage

I60-I69Primary Range

Cerebrovascular diseases

This range includes codes for various types of hemorrhages, including intraventricular hemorrhage.

Key Information: ICD-10 code for intraventricular hemorrhage

Essential facts and insights about Intraventricular Hemorrhage

The ICD-10 code for nontraumatic intraventricular hemorrhage is I61.5.

Primary ICD-10-CM Code for intraventricular hemorrhage

Nontraumatic intraventricular hemorrhage
Billable Code

Decision Criteria

clinical Criteria

  • Isolated blood in ventricles confirmed by imaging

documentation Criteria

  • Explicit mention of primary intraventricular hemorrhage

Applicable To

  • Primary intraventricular hemorrhage

Excludes

  • Traumatic intraventricular hemorrhage (S06.36A)

Clinical Validation Requirements

  • CT or MRI confirmation of blood confined to the ventricular system
  • Graeb score documentation

Code-Specific Risks

  • Misclassification as primary when it is secondary to another hemorrhage

Coding Notes

  • Ensure documentation specifies primary vs secondary hemorrhage.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Communicating hydrocephalus

G91.0
Use when hydrocephalus is present due to intraventricular hemorrhage.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Nontraumatic intracerebral hemorrhage in hemisphere, subcortical

I61.0
Use when the hemorrhage originates in the subcortical region and extends into the ventricles.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Intraventricular Hemorrhage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I61.5.

Impact

Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims

Mitigation Strategy

Always document laterality when applicable, Use templates to ensure completeness

Impact

Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Code the primary site of hemorrhage and use I61.5 only if the hemorrhage is isolated to the ventricles.

Impact

Risk of coding secondary IVH as primary.

Mitigation Strategy

Implement thorough documentation review processes.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Intraventricular Hemorrhage, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Intraventricular Hemorrhage

Use these documentation templates to ensure complete and accurate documentation for Intraventricular Hemorrhage. These templates include all required elements for proper coding and billing.

Primary Intraventricular Hemorrhage

Specialty: Neurology

Required Elements

  • Location of hemorrhage
  • Graeb score
  • Presence of hydrocephalus
  • Imaging findings

Example Documentation

65yo male with sudden onset headache and LOC. CT head reveals 15mL primary intraventricular hemorrhage confined to bilateral lateral ventricles (Graeb Score 6). No parenchymal component. External ventricular drain placed for obstructive hydrocephalus. NIHSS 22 on arrival.

Examples: Poor vs. Good Documentation

Poor Documentation Example
IVH present
Good Documentation Example
Primary nontraumatic hemorrhage confined to lateral ventricles without parenchymal extension
Explanation
The good example specifies the type and location of the hemorrhage, which is necessary for accurate coding.

Need help with ICD-10 coding for Intraventricular Hemorrhage? Ask your questions below.

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