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ICD-10 Guide
ICD-10 CodesP10.2

P10.2

Billable

Intraventricular hemorrhage due to birth injury

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

Code Description

ICD-10 P10.2 is a billable code used to indicate a diagnosis of intraventricular hemorrhage due to birth injury.

Key Diagnostic Point:

Intraventricular hemorrhage (IVH) due to birth injury is a serious condition that occurs when there is bleeding into the brain's ventricular system, often as a result of trauma during delivery. This condition is particularly prevalent in premature infants, whose blood vessels are fragile and susceptible to rupture. Birth injuries leading to IVH can include intracranial lacerations and hemorrhages, subdural hematomas, and cerebral hemorrhages. These injuries may arise from various factors such as the use of forceps during delivery, prolonged labor, or rapid delivery. Clinically, IVH can present with symptoms such as lethargy, poor feeding, seizures, and abnormal muscle tone. Diagnosis is typically confirmed through imaging studies like cranial ultrasound, which can visualize the extent of the hemorrhage. Management may involve supportive care in a neonatal intensive care unit (NICU), monitoring for complications, and addressing any underlying issues contributing to the hemorrhage. Early detection and intervention are crucial to improve outcomes for affected infants.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between types of intracranial hemorrhages
  • Understanding the nuances of birth injury versus other causes of IVH
  • The need for detailed documentation of the delivery process
  • Variability in clinical presentation and severity among affected infants

Audit Risk Factors

  • Inadequate documentation of the delivery method and any complications
  • Failure to specify the type of hemorrhage or laceration
  • Misclassification of IVH severity
  • Inconsistent coding practices across different healthcare providers

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on the delivery process, infant's clinical status, and imaging results are essential.

Common Clinical Scenarios

Infants presenting with lethargy and poor feeding after a traumatic delivery.

Billing Considerations

Coders must be aware of the specific terminology used in neonatology to accurately capture the condition.

Pediatrics

Documentation Requirements

Pediatricians should document any developmental assessments and follow-up care related to IVH.

Common Clinical Scenarios

Pediatric evaluations of infants with a history of IVH and ongoing developmental concerns.

Billing Considerations

Consideration of long-term outcomes and potential developmental delays in coding.

Coding Guidelines

Inclusion Criteria

Use P10.2 When
  • According to the ICD
  • CM coding guidelines, accurate coding for P10
  • 2 requires comprehensive documentation of the birth injury, the clinical presentation of the infant, and any imaging studies performed
  • Coders should ensure that the cause of the hemorrhage is clearly linked to the birth injury

Exclusion Criteria

Do NOT use P10.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99291CPT Code

Critical care, evaluation and management of the critically ill infant

Clinical Scenario

Used when an infant with IVH requires intensive monitoring and management.

Documentation Requirements

Detailed documentation of the infant's condition and interventions performed.

Specialty Considerations

Neonatologists must ensure that all critical care services are well-documented to support billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including IVH due to birth injury. This specificity aids in better tracking of outcomes and resource allocation in neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including IVH due to birth injury. This specificity aids in better tracking of outcomes and resource allocation in neonatal care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including IVH due to birth injury. This specificity aids in better tracking of outcomes and resource allocation in neonatal care.

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 intraventricular hemorrhage in newborns?

Common causes of IVH in newborns include prematurity, birth trauma, and conditions that affect blood vessel integrity. Birth injuries such as those resulting from forceps delivery or rapid labor can lead to significant intracranial bleeding.