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ICD-10 Coding for Subarachnoid Hemorrhage(I60.0, I60.7)

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

Also known as:

SAHNon-traumatic Subarachnoid Hemorrhagesubarachnoid hematomasubarachnoid bleed

Related ICD-10 Code Ranges

Complete code families applicable to Subarachnoid Hemorrhage

I60.0-I60.9Primary Range

Non-traumatic subarachnoid hemorrhage

This range covers subarachnoid hemorrhages from specific and unspecified arteries, crucial for accurate diagnosis and treatment coding.

Cerebral aneurysm, non-ruptured

Used as an ancillary code when a non-ruptured aneurysm is present alongside SAH.

Sequelae of cerebrovascular disease

Used to code for conditions resulting from a previous SAH, such as dysarthria or hemiplegia.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I60.0Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcationUse when imaging confirms SAH from carotid siphon.
  • CTA/MRA confirming aneurysm at carotid siphon
  • Sudden onset headache
I60.7Nontraumatic subarachnoid hemorrhage from unspecified intracranial arteryUse when specific artery location cannot be determined.
  • SAH confirmed but artery location not identified

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for subarachnoid hemorrhage

Essential facts and insights about Subarachnoid Hemorrhage

The ICD-10 code for subarachnoid hemorrhage ranges from I60.0 to I60.9, based on artery location.

Primary ICD-10-CM Codes for subarachnoid hemorrhage

Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcation
Non-billable Code

Decision Criteria

clinical Criteria

  • Confirmed aneurysm at carotid siphon

Applicable To

  • SAH from carotid artery

Excludes

  • Traumatic subarachnoid hemorrhage (S06.6-)

Clinical Validation Requirements

  • CTA/MRA confirming aneurysm at carotid siphon
  • Sudden onset headache

Code-Specific Risks

  • Misidentifying artery location

Coding Notes

  • Ensure artery location is specified in documentation.

Ancillary Codes

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

Cerebral aneurysm, non-ruptured

I67.1
Use if a non-ruptured aneurysm is identified.

Differential Codes

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

Traumatic subarachnoid hemorrhage

S06.6X-
Requires documentation of trauma event.

SAH from specific arteries

I60.0-I60.6
Use specific codes when artery location is known.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Subarachnoid Hemorrhage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I60.0.

Impact

Clinical: Potential mismanagement of condition, Regulatory: Non-compliance with coding standards, Financial: Reduced reimbursement rates

Mitigation Strategy

Always document laterality when known, Use templates that prompt for laterality

Impact

Reimbursement: May lead to lower DRG reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in clinical data.

Mitigation Strategy

Use specific codes I60.0-I60.6 based on imaging findings.

Impact

Frequent use of unspecified codes may trigger audits.

Mitigation Strategy

Ensure thorough documentation of imaging findings.

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 Subarachnoid Hemorrhage, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Subarachnoid Hemorrhage

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

Emergency Department Admission for SAH

Specialty: Emergency Medicine

Required Elements

  • Patient age and gender
  • Onset and description of headache
  • Imaging results
  • Clinical findings

Example Documentation

63F with sudden-onset headache, CTA shows 5mm aneurysm in right anterior communicating artery.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has SAH.
Good Documentation Example
Non-traumatic SAH from right anterior communicating artery confirmed by CTA.
Explanation
The good example specifies the artery and confirms with imaging, improving specificity.

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

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