Coding Corner Tips: Cerebral Petechial Hemorrhage
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Cerebral Petechial Hemorrhage

As far as ICD-10-CM is concerned, a petechial hemorrhage of the brain is the same as a hemorrhagic stroke. A separate code is assigned for intracerebral hemorrhage when the provider documents a petechial hemorrhage of the brain.

Example from 2Q 2024 Coding Clinic:

A patient was admitted to the ICU for an acute embolic ischemic left MCA stroke, a left ACA stroke with petechial hemorrhage, and a subacute right frontoparietal stroke, in the setting of atrial flutter. The patient was admitted to the ICU due to the risk of significant cerebral edema or hemorrhagic transformation.

How is cerebral petechial hemorrhage coded?

Codes assigned: I61.8, Other nontraumatic intracerebral hemorrhage, for petechial hemorrhage. Also assign the appropriate codes for the MCA, ACA, and the right frontoparietal strokes and a code for the atrial flutter.

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Kim Felix, RHIA, CCS 

Director of Education

 (215) 200-1788

kfelix@e4.health

Lori Harbison, LPN, CCDS, CDIP, CCS

Coding Operations Manager

 (216) 501-2058

lharbison@e4.health

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The information and opinions presented here are based on the experience, training, and interpretation of e4health. Although the information has been researched and reviewed for accuracy, e4health does not accept any responsibility or liability regarding errors, omissions, misuse, or misinterpretation. This information is intended as a guide; it should not be considered a legal/consulting opinion or advice.