P10.0

Billable

Subdural hemorrhage due to birth injury

HCC Category Mapping

V28HCC 248 — Cerebral Hemorrhage

0.289

What This Code Means

Bleeding between the brain and its outer membrane (subdural space) that occurred as a result of trauma during the birth process.

Coding Tips

•Document the severity and location of the subdural hemorrhage; specify whether it is acute, subacute, or chronic if applicable
•Link to delivery complications and maternal factors that may have contributed to the birth injury

Clinical Significance

Subdural hemorrhage due to birth injury represents serious intracranial bleeding that can cause immediate neurological complications and long-term developmental disabilities. These newborns require intensive monitoring for increased intracranial pressure and may need neurosurgical intervention.

Documentation Requirements

✓Documentation of subdural hemorrhage confirmed by imaging
✓Evidence that hemorrhage resulted from birth trauma
✓Description of delivery complications or instrumentation
✓Clinical signs of intracranial bleeding
✓Neurological assessment findings
✓Neurosurgical consultation if indicated
✓Serial imaging studies and monitoring plan

Excludes 1 — Do NOT code together

subdural hemorrhage accompanying tentorial tear (P10.4)

Commonly Confused Codes

P52.8 — Other specified intracranial non-traumatic hemorrhages of newborn (non-traumatic vs birth injury)P10.1 — Cerebral hemorrhage due to birth injury (cerebral vs subdural location)S06.5X9A — Traumatic subdural hemorrhage without loss of consciousness (non-birth trauma)P91.2 — Neonatal cerebral leukomalacia (white matter injury vs hemorrhage)

Code Hierarchy

└P10Intracranial laceration and hemorrhage due to birth injury └P10.0Subdural hemorrhage due to birth injury

└P10.0Subdural hemorrhage due to birth injury