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ICD-10 Guide
ICD-10 CodesP10.3

P10.3

Billable

Subarachnoid hemorrhage due to birth injury

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

Code Description

ICD-10 P10.3 is a billable code used to indicate a diagnosis of subarachnoid hemorrhage due to birth injury.

Key Diagnostic Point:

Subarachnoid hemorrhage (SAH) due to birth injury is a serious condition that occurs when there is bleeding in the space surrounding the brain, often as a result of trauma during delivery. This condition can arise from various birth-related injuries, including intracranial lacerations and hemorrhages, subdural hematomas, and cerebral hemorrhages. The incidence of SAH in neonates is relatively low but can lead to significant morbidity if not promptly diagnosed and managed. Clinical manifestations may include altered consciousness, seizures, and signs of increased intracranial pressure. Diagnosis typically involves neuroimaging, such as cranial ultrasound or MRI, to confirm the presence of hemorrhage and assess the extent of injury. Management may require supportive care in a neonatal intensive care unit (NICU), and in severe cases, surgical intervention may be necessary. Early recognition and intervention are crucial to improve outcomes for affected infants.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of intracranial hemorrhages
  • Understanding the clinical implications of various birth injuries
  • Navigating documentation requirements for neonatal care
  • Identifying associated conditions that may complicate coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of hemorrhage
  • Misclassification of the severity of the condition
  • Lack of supporting imaging reports

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed documentation of the birth process, including any complications, and the infant's clinical status post-delivery.

Common Clinical Scenarios

Infants presenting with seizures or altered consciousness shortly after birth, requiring NICU admission for monitoring and treatment.

Billing Considerations

Accurate coding requires understanding the nuances of neonatal brain injuries and their potential long-term effects.

Pediatrics

Documentation Requirements

Comprehensive history and physical examination findings, including developmental assessments and follow-up care plans.

Common Clinical Scenarios

Pediatric follow-up for infants with a history of birth-related brain injuries, monitoring for developmental delays or neurological deficits.

Billing Considerations

Pediatric coders must be aware of the long-term implications of perinatal injuries and their impact on future healthcare needs.

Coding Guidelines

Inclusion Criteria

Use P10.3 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring that all documentation supports the diagnosis and reflects the clinical scenario accurately

Exclusion Criteria

Do NOT use P10.3 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 SAH requires intensive monitoring and management in the NICU.

Documentation Requirements

Detailed notes on the infant's clinical status, interventions, and response to treatment.

Specialty Considerations

Neonatologists must document the rationale for critical care services provided.

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, improving the accuracy of data collection and reimbursement processes for conditions like SAH.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the accuracy of data collection and reimbursement processes for conditions like SAH.

Reimbursement & Billing Impact

reimbursement processes for conditions like SAH.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of subarachnoid hemorrhage in newborns?

Common causes include traumatic delivery, use of forceps or vacuum extraction, and other birth injuries that can lead to vascular damage.