Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn
ICD-10 P52.21 is a billable code used to indicate a diagnosis of intraventricular (nontraumatic) hemorrhage, grade 3, of newborn.
Intraventricular hemorrhage (IVH) is a common condition in premature infants, particularly those born before 32 weeks of gestation. Grade 3 IVH is characterized by the presence of blood in the ventricles of the brain, which can lead to significant complications, including hydrocephalus and long-term neurological deficits. This condition arises from the fragility of the germinal matrix, a highly vascular area in the brain that is particularly susceptible to injury. Factors contributing to IVH include low birth weight, rapid fluctuations in blood pressure, and hypoxia. Clinically, infants may present with signs such as lethargy, hypotonia, seizures, or bulging fontanelles. Diagnosis is typically confirmed through cranial ultrasound, which can visualize the extent of hemorrhage. Management may involve supportive care, monitoring for complications, and in some cases, surgical intervention to manage hydrocephalus. Early detection and intervention are critical to improving outcomes for affected infants.
Detailed notes on gestational age, birth weight, and clinical signs of IVH.
Infants born at less than 32 weeks gestation presenting with neurological symptoms.
Ensure that cranial imaging results are included in the medical record.
Comprehensive history and physical examination findings related to neurological development.
Follow-up visits for infants with a history of IVH to monitor developmental milestones.
Consider long-term follow-up for potential developmental delays.
Used to assess for IVH in premature infants.
Document indications for ultrasound and findings.
Neonatologists should ensure imaging results are included in the medical record.
Grade 3 IVH can lead to significant long-term neurological issues, including cerebral palsy, developmental delays, and cognitive impairments. Early intervention and monitoring are crucial for optimizing outcomes.
