Subdural and cerebral hemorrhage

This code signifies bleeding within the subdural space and/or within the brain tissue itself. It represents a serious intracranial hemorrhage that can result from trauma, ruptured aneurysms, or other vascular malformations.

Apply this code when documentation clearly indicates both subdural and cerebral hemorrhage. This is often seen in cases of severe head trauma or spontaneous intracranial bleeding affecting both compartments. Physician notes, imaging reports (CT, MRI), and operative reports should confirm the presence and location of both types of hemorrhage.

• Ensure documentation specifies both subdural and cerebral hemorrhage; if only one is present, a more specific code is required.
• Do not use this code for epidural or subarachnoid hemorrhage alone.
• Sequence this code as the principal diagnosis when it is the primary reason for admission and treatment.