P91.829
BillableNeonatal cerebral infarction, unspecified side
HCC Category Mapping
V28HCC 249 — Ischemic or Unspecified Stroke
0.289V24HCC 100 — Ischemic or Unspecified Stroke
0.262ESRDHCC 100 — Ischemic or Unspecified Stroke
0.000What This Code Means
A newborn's stroke caused by blocked blood flow to the brain, but the specific side affected is not documented or identified.
Coding Tips
- •Use this code only when imaging confirms cerebral infarction but laterality is not specified in documentation
- •Query the provider or review imaging reports to determine if laterality can be documented for more specific coding
Clinical Significance
Neonatal cerebral infarction of unspecified side indicates stroke has occurred but brain laterality is not documented. This diagnosis represents significant neurological injury requiring immediate evaluation to determine extent and location of brain damage for prognosis and treatment planning.
Documentation Requirements
- ✓Documentation of cerebral infarction in newborn
- ✓Neuroimaging confirming stroke but laterality not specified
- ✓Clinical signs consistent with neonatal stroke
- ✓Timing of infarct occurrence documented
- ✓Underlying risk factors identified
- ✓Extent of brain tissue involvement noted
- ✓Attempts to determine laterality from clinical examination
- ✓Plans for additional imaging if laterality determination needed
Commonly Confused Codes
Code Hierarchy
└P91Other disturbances of cerebral status of newborn└P91.8Other specified disturbances of cerebral status of newborn└P91.82Neonatal cerebral infarction└P91.829Neonatal cerebral infarction, unspecified side
└P91.829Neonatal cerebral infarction, unspecified side