P52.4

Billable

Intracerebral (nontraumatic) hemorrhage of newborn

HCC Category Mapping

V28HCC 248 — Cerebral Hemorrhage

0.289

What This Code Means

Bleeding within the brain tissue itself (not in the ventricles or surrounding spaces) in a newborn without trauma.

Coding Tips

•Intracerebral hemorrhage differs from intraventricular hemorrhage; ensure documentation specifies the location within brain tissue
•This is distinct from subdural or subarachnoid hemorrhages; verify the exact location documented by the clinician

Clinical Significance

Intracerebral hemorrhage of newborn represents bleeding directly into brain tissue rather than the ventricular system, indicating significant parenchymal injury. This condition carries high risk for focal neurological deficits, seizures, and long-term neurodevelopmental complications, requiring intensive neurological monitoring and often specialized neurocritical care management.

Documentation Requirements

✓Imaging confirming bleeding within brain parenchyma
✓Location and extent of intracerebral hemorrhage
✓Gestational age and birth weight
✓Neurological examination findings
✓Associated seizure activity
✓Exclusion of traumatic causes
✓Serial imaging results
✓Neurosurgical consultation if indicated

Commonly Confused Codes

P52.0-P52.22 — Intraventricular hemorrhages, different location P52.5 — Subarachnoid hemorrhage, different space P52.8 — Other intracranial hemorrhages I61.9 — Intracerebral hemorrhage in older patients

Code Hierarchy

└P52Intracranial nontraumatic hemorrhage of newborn └P52.4Intracerebral (nontraumatic) hemorrhage of newborn

└P52.4Intracerebral (nontraumatic) hemorrhage of newborn