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ICD-10 Guide
ICD-10 CodesP10.1

P10.1

Billable

Cerebral hemorrhage due to birth injury

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P10.1 is a billable code used to indicate a diagnosis of cerebral hemorrhage due to birth injury.

Key Diagnostic Point:

Cerebral hemorrhage due to birth injury, classified under ICD-10 code P10.1, refers to bleeding within the cranial cavity that occurs as a result of trauma during the birthing process. This condition can manifest as intracranial laceration and hemorrhage, subdural hematoma, or other forms of cerebral hemorrhage. The injury may arise from various factors, including the use of forceps, vacuum extraction, or excessive traction during delivery. Clinically, affected newborns may present with symptoms such as altered consciousness, seizures, or abnormal neurological examinations. Diagnosis typically involves imaging studies, such as cranial ultrasound or MRI, to assess the extent of the hemorrhage and any associated brain injury. Early recognition and management are crucial to mitigate potential long-term neurological deficits. Treatment may include supportive care, monitoring intracranial pressure, and, in severe cases, surgical intervention to evacuate hematomas or repair lacerations. Understanding the nuances of this condition is essential for accurate coding and appropriate clinical management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of hemorrhage (subdural, intracerebral, etc.)
  • Understanding the clinical implications of various birth injuries
  • Variability in presentation and severity among affected newborns
  • Need for precise documentation to support coding

Audit Risk Factors

  • Inadequate documentation of the birth process and injury mechanism
  • Failure to specify the type of hemorrhage
  • Misalignment between clinical findings and coded diagnoses
  • Inconsistent use of imaging results in documentation

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including neurological evaluations and imaging results.

Common Clinical Scenarios

Newborns presenting with seizures or altered consciousness in the NICU following a traumatic delivery.

Billing Considerations

Accurate coding requires thorough documentation of the delivery method and any interventions performed.

Pediatrics

Documentation Requirements

Comprehensive pediatric evaluations that include developmental assessments and follow-up care.

Common Clinical Scenarios

Pediatric follow-up for infants with a history of cerebral hemorrhage, monitoring for developmental delays.

Billing Considerations

Consideration of long-term outcomes and potential co-morbidities related to the initial injury.

Coding Guidelines

Inclusion Criteria

Use P10.1 When
  • Perinatal coding guidelines emphasize the importance of specificity in documenting the type of hemorrhage and the circumstances surrounding the birth injury
  • Coders should ensure that all relevant clinical details are captured to support the diagnosis

Exclusion Criteria

Do NOT use P10.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99291CPT Code

Critical care, evaluation and management of the critically ill newborn

Clinical Scenario

Used when a newborn with cerebral hemorrhage requires intensive monitoring and management.

Documentation Requirements

Detailed documentation of critical care services provided, including assessments and interventions.

Specialty Considerations

Neonatologists must document the severity of the condition and the rationale for critical care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding conditions like cerebral hemorrhage due to birth injury, enabling better tracking of outcomes and resource allocation in neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding conditions like cerebral hemorrhage due to birth injury, enabling better tracking of outcomes and resource allocation in neonatal care.

Reimbursement & Billing Impact

reimbursement and quality reporting.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Frequently Asked Questions

What are the common causes of cerebral hemorrhage due to birth injury?

Common causes include the use of forceps or vacuum extraction during delivery, excessive traction, or trauma from shoulder dystocia. Each of these factors can lead to varying degrees of intracranial hemorrhage.