You are here

Subarachnoid Haemorrhage G015

Document
Last amended 
26 June 2015
Current RMA Instruments:
Reasonable Hypothesis SOP
67 of 2010
Balance of Probabilities SOP
68 of 2010
Changes from Previous Instruments:

SOP Bulletin 146

ICD Coding
  • ICD-9-CM Codes: 430,852.00-852.3
  • ICD-10-AM Codes: I60, S06.6

Subarachnoid haemorrhage is bleeding in the space between the innermost and middle layers of the meninges that cover the brain and spinal cord.  Not all forms of subarachnoid haemorrhage are covered by this SOP.  Bleeding that extends into the subarachnoid space from a cerebral haemorrhage or a bleeding cerebral tumour is excluded.  Bleeding in the subarachnoid space around the spinal cord is also not covered.  Bleeding due to trauma or certain bleeding disorders, previously excluded from this SOP, is now covered.

Is specific diagnostic evidence required to apply either SOP?No. 
Are there sub-factors that require specific information? – No. 
Additional diagnoses that may be covered by SOP
  • Ruptured cerebral berry or saccular aneurysm
  • Ruptured arteriovenous malformation
Conditions not covered by SOP
  • Epidural haemorrhage, ICD-9-CM code 432.0
  • Intracerebral haemorrhage, ICD-9-CM code 431
  • Subarachnoid haemorrhage around the spinal cord, ICD-9-CM code 336.1
  • Subarachnoid haemorrhage due to cerebral tumour, ICD-9-CM code 191 or 225.0
  • Subarachnoid haemorrhage that is an extension from an intracerebral haemorrhage, ICD-9-CM code 431
  • Subdural haemorrhage, ICD-9-CM code 432.1
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then:

  1. seek medical officer advice about further investigation, or;
  2. generate a diagnostic report, or;
  3. re-encode the condition, if appropriate.

The following investigations may be useful in establishing the diagnosis.

  • A medical report including details of CT scanning, MRI scanning, or cerebral angiography
  • Report from treating neurologist or neurosurgeon
  • Autopsy report