P10.2

Billable

Intraventricular hemorrhage due to birth injury

HCC Category Mapping

V28HCC 248 — Cerebral Hemorrhage

0.289

What This Code Means

Bleeding inside the brain's ventricles (fluid-filled spaces) that occurs as a result of trauma during childbirth.

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

Commonly Confused Codes

P52.1 — Intraventricular hemorrhage, grade 1 (spontaneous vs traumatic)P10.1 — Subdural hemorrhage due to birth injury (different intracranial location)P52.22 — Intraventricular hemorrhage, grade 2 (spontaneous IVH)P11.2 — Unspecified brain damage due to birth injury (non-specific brain injury)G93.1 — Anoxic brain damage (hypoxic vs traumatic injury)

Code Hierarchy

└P10Intracranial laceration and hemorrhage due to birth injury └P10.2Intraventricular hemorrhage due to birth injury

└P10.2Intraventricular hemorrhage due to birth injury