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Home/Diagnosis/ICD-10 Coding for Chronic Subdural Hematoma

ICD-10 Coding for Chronic Subdural Hematoma

S06.5X-S
I62.03

Complete ICD-10-CM coding and documentation guide for icd-10 coding for chronic subdural hematoma includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
CSDH
Chronic SDH
Subdural Hemorrhage
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Key Information: ICD-10 Coding for Chronic Subdural Hematoma

Essential facts and insights about ICD-10 Coding for Chronic Subdural Hematoma

Use ICD-10 code S06.5X-S for traumatic subdural hemorrhage with sequela, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Traumatic subdural hemorrhage with sequela

Non-Billable
S06.5X-S
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of trauma history and imaging findings
coding:
  • • Use S06.5X-S for traumatic cases

Applicable To

  • • Chronic subdural hematoma due to trauma

Important Notes

  • • Ensure to document the trauma history and any anticoagulant use.

Nontraumatic subdural hemorrhage

Billable Code
I62.03
Billable

Diagnostic Criteria

clinical:
  • • No history of trauma
  • • INR >3.0 or antiplatelet use
  • • MRI showing homogeneous hypointensity

Applicable To

  • • Chronic subdural hematoma not due to trauma

Important Notes

  • • Ensure to document the absence of trauma and any anticoagulant use.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.01

Long term (current) use of anticoagulants

Use when the patient is on anticoagulant therapy.

T45.515A

Adverse effect of anticoagulants

Use when the hematoma is related to anticoagulant use.

Frequently Asked Questions

What is the ICD-10 code for chronic subdural hematoma?

The ICD-10 code for traumatic chronic subdural hematoma is S06.5X-S, while nontraumatic cases use I62.03.

How do you code a chronic subdural hematoma due to anticoagulants?

Use I62.03 for nontraumatic subdural hematoma and T45.515A for adverse effects of anticoagulants.

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