P91.823

Billable

Neonatal cerebral infarction, bilateral

HCC Category Mapping

V28HCC 249 — Ischemic or Unspecified Stroke

0.289

V24HCC 100 — Ischemic or Unspecified Stroke

0.262

ESRDHCC 100 — Ischemic or Unspecified Stroke

0.000

What This Code Means

A newborn's stroke affecting both sides of the brain simultaneously, caused by blocked blood flow to brain tissue on both hemispheres.

Coding Tips

•This code indicates bilateral involvement; confirm documentation clearly states infarction on both sides
•Bilateral strokes in neonates are serious and typically require documentation of significant clinical impact

Clinical Significance

Bilateral neonatal cerebral infarction represents devastating stroke affecting both brain hemispheres, indicating extremely poor prognosis. This diagnosis carries the highest risk for severe cerebral palsy, profound developmental delays, and lifelong disability requiring maximal care support.

Documentation Requirements

✓Documentation of cerebral infarction affecting both brain hemispheres
✓Neuroimaging clearly showing bilateral infarct patterns
✓Clinical signs of severe neurological compromise
✓Timing and circumstances of bilateral stroke occurrence
✓Underlying systemic conditions predisposing to bilateral stroke
✓Extent of tissue damage on both sides documented
✓Response to emergency interventions
✓Prognosis and family counseling documentation

Commonly Confused Codes

P91.821 — Right-sided infarction only P91.822 — Left-sided infarction only P91.0 — Neonatal cerebral ischemia, broader category P91.2 — Neonatal cerebral leukomalacia, white matter injury

Code Hierarchy

└P91Other disturbances of cerebral status of newborn └P91.8Other specified disturbances of cerebral status of newborn └P91.82Neonatal cerebral infarction └P91.823Neonatal cerebral infarction, bilateral

└P91.823Neonatal cerebral infarction, bilateral