P52.1

Billable

Intraventricular (nontraumatic) hemorrhage, grade 2, of newborn

HCC Category Mapping

V28HCC 248 — Cerebral Hemorrhage

0.289

What This Code Means

A newborn has moderate bleeding in the ventricles of the brain that did not result from trauma, representing a more significant but still intermediate grade of brain bleed.

Coding Tips

•Grade 2 IVH involves intraventricular hemorrhage without ventricular dilation; confirm grade with imaging documentation
•Document any neurological symptoms or complications associated with the hemorrhage

Clinical Significance

Grade 2 intraventricular hemorrhage represents moderate bleeding into the brain's ventricular system, extending beyond the germinal matrix but not causing ventricular dilatation. This condition carries increased risk for neurodevelopmental complications and requires close neurological monitoring, with some infants developing post-hemorrhagic hydrocephalus requiring intervention.

Documentation Requirements

✓Head ultrasound confirming Grade 2 IVH
✓Evidence of intraventricular blood without dilatation
✓Gestational age and birth weight
✓Serial head circumference measurements
✓Neurological examination findings
✓Associated prematurity-related conditions
✓Follow-up imaging schedule
✓Neurodevelopmental assessment plans

Commonly Confused Codes

P52.0 — Grade 1 IVH, less extensive bleeding P52.21 — Grade 3 IVH, with ventricular involvement P52.22 — Grade 4 IVH, most severe form P52.4 — Intracerebral hemorrhage, different anatomy

Code Hierarchy

└P52Intracranial nontraumatic hemorrhage of newborn └P52.1Intraventricular (nontraumatic) hemorrhage, grade 2, of newborn

└P52.1Intraventricular (nontraumatic) hemorrhage, grade 2, of newborn