P52.0

Billable

Intraventricular (nontraumatic) hemorrhage, grade 1, of newborn

HCC Category Mapping

V28HCC 248 — Cerebral Hemorrhage

0.289

What This Code Means

A newborn has mild bleeding in the ventricles of the brain (fluid-filled spaces) that did not result from trauma, representing the least severe grade of this type of brain bleed.

Coding Tips

•Grade 1 IVH is the mildest form; document imaging findings (ultrasound or MRI) that confirm the grade
•Ensure the hemorrhage is nontraumatic to use this code; traumatic IVH requires different coding

Clinical Significance

Grade 1 intraventricular hemorrhage represents the mildest form of bleeding into the brain's ventricular system in newborns, typically confined to the germinal matrix region. While less severe than higher grades, this condition still requires neurological monitoring and may be associated with increased risk of neurodevelopmental complications, particularly in very premature infants.

Documentation Requirements

✓Head ultrasound or imaging confirming IVH Grade 1
✓Gestational age and birth weight
✓Evidence of bleeding confined to germinal matrix
✓Exclusion of higher grade hemorrhage
✓Serial neurological assessments
✓Associated risk factors (prematurity, respiratory distress)
✓Follow-up imaging results
✓Neurodevelopmental monitoring plan

Commonly Confused Codes

P52.1 — Grade 2 IVH, more extensive bleeding P52.21 — Grade 3 IVH, with ventricular dilatation P52.3 — Unspecified IVH when grade unknown P52.4 — Intracerebral hemorrhage, different location

Code Hierarchy

└P52Intracranial nontraumatic hemorrhage of newborn └P52.0Intraventricular (nontraumatic) hemorrhage, grade 1, of newborn

└P52.0Intraventricular (nontraumatic) hemorrhage, grade 1, of newborn