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Compare/I60.8 vs Q28

I60.8 vs Q28

I60.8 (Other nontraumatic subarachnoid hemorrhage) compared with Q28 (Other congenital malformations of circulatory system), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. Q28 carries an Excludes1 note covering I60.8: “ruptured cerebral arteriovenous malformation (I60.8)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

I60.8Other nontraumatic subarachnoid hemorrhageQ28Other congenital malformations of circulatory system
Billing statusBillableNon-billable header

Report instead: Q28.0, Q28.1, Q28.2, Q28.3, Q28.8

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionOther nontraumatic subarachnoid hemorrhage is a billable ICD-10-CM diagnosis code (I60.8).Other congenital malformations of circulatory system is a non-billable ICD-10-CM category code (Q28).
Includes
Meningeal hemorrhage
Rupture of cerebral arteriovenous malformation
Use additional code
code, if known, to indicate National Institutes of Health Stroke Scale (NIHSS) score (R29.7-)
code to identify presence of:
alcohol abuse and dependence (F10.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources