Intracranial (nontraumatic) hemorrhage of newborn, unspecified
ICD-10 P52.9 is a billable code used to indicate a diagnosis of intracranial (nontraumatic) hemorrhage of newborn, unspecified.
Intracranial hemorrhage in newborns, particularly nontraumatic types, is a significant concern in neonatal care. This condition can manifest as a result of various factors, including but not limited to, hypoxia, prematurity, and vascular malformations. Intraventricular hemorrhage (IVH) is a common form of intracranial hemorrhage in preterm infants, often occurring due to the fragility of the germinal matrix, a highly vascular area in the brain. The severity of IVH is classified into grades, with higher grades indicating more extensive bleeding and a greater risk of long-term neurological impairment. Clinical presentation may vary, with some infants showing no symptoms while others may exhibit signs such as altered consciousness, seizures, or abnormal tone. Diagnosis typically involves neuroimaging, such as cranial ultrasound, which is a standard procedure in NICUs for at-risk infants. Management strategies may include supportive care, monitoring for complications, and in severe cases, surgical intervention. Accurate coding of this condition is crucial for appropriate treatment planning and resource allocation in neonatal care.
Detailed clinical notes including gestational age, birth weight, and specific imaging results.
Preterm infants presenting with signs of IVH, routine cranial ultrasounds revealing hemorrhage.
Coders must be aware of the grading system for IVH and its implications for long-term outcomes.
Comprehensive history and physical examination notes, including developmental assessments.
Follow-up visits for infants with a history of IVH, monitoring for developmental delays.
Consideration of the long-term impact of IVH on pediatric development and associated coding for follow-up care.
Used to diagnose IVH in at-risk newborns.
Document indications for ultrasound and findings.
Neonatologists should ensure imaging reports are included in the medical record.
Common causes include prematurity, birth trauma, and hypoxia. Intraventricular hemorrhage is particularly prevalent in preterm infants due to the fragility of their blood vessels.
