P10.2
BillableIntraventricular hemorrhage due to birth injury
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P10.2 an HCC code?
Yes. P10.2 maps to Cerebral Hemorrhage under the CMS-HCC V28 risk adjustment model.
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for P10.2
For P10.2 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically — it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed P10.2 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
P10.2 is the ICD-10-CM diagnosis code for intraventricular hemorrhage due to birth injury. Bleeding inside the brain's ventricles (fluid-filled spaces) that occurs as a result of trauma during childbirth. P10.2 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering birth trauma (p10-p15).
Under the CMS-HCC V28 risk adjustment model, P10.2 maps to Cerebral Hemorrhage (HCC 248) with a community, non-dual, aged base RAF weight of 0.289. P10.2 was not retained as a payment HCC under the older V24 model, so V28 introduced or recategorized it during the 2024–2026 phase-in. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
This code is specific to birth-related trauma; ensure delivery records document the traumatic mechanism. Because P10.2 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P10.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is specific to birth-related trauma; ensure delivery records document the traumatic mechanism
- •May require a seventh character for laterality if documentation specifies which ventricle is affected
Clinical Significance
Intraventricular hemorrhage from birth injury represents severe neonatal brain trauma that can result in long-term neurological sequelae including cerebral palsy and developmental delays. This condition requires intensive neonatal care and long-term developmental monitoring, significantly impacting care complexity.
Documentation Requirements
- ✓Imaging confirmation of intraventricular bleeding
- ✓Documentation of birth trauma as causative factor
- ✓Assessment of hemorrhage grade and extent
- ✓Neurological examination findings in newborn
- ✓Exclusion of spontaneous IVH or other causes
- ✓Documentation of delivery complications or trauma
- ✓Monitoring for hydrocephalus development
- ✓Developmental assessment and prognosis documentation