Nontraumatic subarachnoid hemorrhage
In Cerebrovascular diseases (I60-I69), chapter 9: Diseases of the Circulatory System
18 billable codes under I60: all are an MCC; all map to HCC 248 (Intracranial Hemorrhage).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes1: not coded here, use a different code
- syphilitic ruptured cerebral aneurysm (A52.05)
Excludes2: not included here, code separately if applicable
- sequelae of subarachnoid hemorrhage (I69.0-)
Use additional code: add a second code for this, listed after this one
- code, if known, to indicate National Institutes of Health Stroke Scale (NIHSS) score (R29.7-)
Also applies, from Cerebrovascular diseases (I60-I69)
These notes sit on I60-I69 and apply to every code under it, including I60.
Excludes1: not coded here, use a different code
- traumatic intracranial hemorrhage (S06.-)
Use additional code: add a second code for this, listed after this one
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers hypertension with heart and kidney disease, coronary artery disease with angina, perioperative stroke, cerebrovascular sequelae, and acute myocardial infarction types and timing.
- Hypertension (page 50)
- Atherosclerotic Coronary Artery Disease and Angina (page 52)
- Intraoperative and Postprocedural Cerebrovascular Accident (page 53)
- Sequelae of Cerebrovascular Disease (page 53)
- Acute myocardial infarction (AMI) (page 54)
All codes under I60
I60 can't be used on a claim. Pick a billable code below; grey headings group them.
- I60.0Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcation
- I60.00Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation
- I60.01Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation
- I60.02Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation
- I60.1Nontraumatic subarachnoid hemorrhage from middle cerebral artery
- I60.10Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery
- I60.11Nontraumatic subarachnoid hemorrhage from right middle cerebral artery
- I60.12Nontraumatic subarachnoid hemorrhage from left middle cerebral artery
- I60.2Nontraumatic subarachnoid hemorrhage from anterior communicating artery
- I60.3Nontraumatic subarachnoid hemorrhage from posterior communicating artery
- I60.30Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery
- I60.31Nontraumatic subarachnoid hemorrhage from right posterior communicating artery
- I60.32Nontraumatic subarachnoid hemorrhage from left posterior communicating artery
- I60.4Nontraumatic subarachnoid hemorrhage from basilar artery
- I60.5Nontraumatic subarachnoid hemorrhage from vertebral artery
- I60.50Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery
- I60.51Nontraumatic subarachnoid hemorrhage from right vertebral artery
- I60.52Nontraumatic subarachnoid hemorrhage from left vertebral artery
- I60.6Nontraumatic subarachnoid hemorrhage from other intracranial arteries
- I60.7Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery
- I60.8Other nontraumatic subarachnoid hemorrhage
- I60.9Nontraumatic subarachnoid hemorrhage, unspecified
I60 MS-DRGs
As the principal diagnosis, all 18 billable codes under I60 group to these 10 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 020 Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC
- DRG 021 Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC
- DRG 022 Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC
- DRG 023 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
- DRG 024 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
- DRG 064 Intracranial Hemorrhage or Cerebral Infarction with MCC
- DRG 065 Intracranial Hemorrhage or Cerebral Infarction with CC or tPA in 24 Hours
- DRG 066 Intracranial Hemorrhage or Cerebral Infarction without CC/MCC
- DRG 791 Prematurity with Major Problems
- DRG 793 Full Term Neonate with Major Problems
Other codes that refer to I60
Notes on these codes point to I60.
- G31.84 Excludes1: cerebrovascular diseases (I60-I69)
- G46 Code First: underlying cerebrovascular disease (I60-I69)
- I10 Excludes2: essential (primary) hypertension involving vessels of brain (I60-I69)
- I15 Excludes2: secondary hypertension involving vessels of brain (I60-I69)
- I16.1 Code Also: cerebral hemorrhage (I60.-. I61.-, I62.-)
- R29.7 Code First: the type of cerebral infarction (I60.-, I61.-, I62.-, I63.-)
- Z82.3 Includes: Conditions classifiable to I60-I64
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Hemorrhagic Stroke
A stroke happens when there is a loss of blood flow to part of the brain. Your brain cells cannot get the oxygen and nutrients they need from blood, and they start to die within a few minutes. This can cause lasting brain damage, long-term disability, or even death.
Read more about hemorrhagic stroke on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
