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v1.0.0
ICD-10 Guide
ICD-10 CodesP52.1

P52.1

Billable

Intraventricular (nontraumatic) hemorrhage, grade 2, of newborn

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

Code Description

ICD-10 P52.1 is a billable code used to indicate a diagnosis of intraventricular (nontraumatic) hemorrhage, grade 2, of newborn.

Key Diagnostic Point:

Intraventricular hemorrhage (IVH) is a common condition in premature infants, particularly those born before 32 weeks of gestation. Grade 2 IVH indicates that there is bleeding in the ventricles of the brain, but it does not extend into the surrounding brain tissue. This condition is often associated with fluctuations in blood pressure, hypoxia, and other perinatal stressors. Clinically, it may present with signs such as lethargy, poor feeding, and abnormal tone. Diagnosis is typically confirmed through cranial ultrasound, which is routinely performed in at-risk neonates. Management may include supportive care, monitoring for complications, and addressing any underlying issues contributing to the hemorrhage. While many infants with grade 2 IVH may have favorable outcomes, there is a risk for long-term neurodevelopmental issues, necessitating ongoing follow-up and assessment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between grades of IVH requires detailed clinical knowledge.
  • Documentation must clearly indicate the absence of trauma to justify the nontraumatic designation.
  • Clinical signs and symptoms can overlap with other conditions, complicating accurate coding.
  • The need for precise timing of diagnosis in relation to gestational age and clinical presentation.

Audit Risk Factors

  • Inadequate documentation of clinical findings related to IVH.
  • Failure to specify the grade of hemorrhage accurately.
  • Misclassification of traumatic vs. nontraumatic hemorrhage.
  • Lack of follow-up documentation on the infant's neurodevelopmental status.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed cranial ultrasound reports, clinical assessments, and monitoring notes.

Common Clinical Scenarios

Infants born preterm presenting with lethargy and poor feeding, requiring NICU admission.

Billing Considerations

Accurate timing of imaging studies and correlation with clinical symptoms are crucial for coding.

Pediatrics

Documentation Requirements

Longitudinal follow-up notes documenting developmental milestones and any interventions.

Common Clinical Scenarios

Pediatric visits for developmental assessments in infants with a history of IVH.

Billing Considerations

Consideration of the long-term implications of IVH on developmental outcomes.

Coding Guidelines

Inclusion Criteria

Use P52.1 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring accurate documentation of the clinical scenario, including gestational age and any associated complications

Exclusion Criteria

Do NOT use P52.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76506CPT Code

Ultrasound, cranial, infant

Clinical Scenario

Used to diagnose IVH in at-risk neonates.

Documentation Requirements

Cranial ultrasound report must be included in the medical record.

Specialty Considerations

Neonatologists must ensure accurate interpretation of ultrasound findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of IVH, enabling better tracking of outcomes and complications associated with this condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of IVH, enabling better tracking of outcomes and complications associated with this condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of IVH, enabling better tracking of outcomes and complications associated with this condition.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Hemorrhage Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Hemorrhage Guidelines

Frequently Asked Questions

What are the long-term implications of grade 2 IVH in newborns?

Grade 2 IVH can lead to potential neurodevelopmental delays, and infants may require ongoing assessments to monitor their growth and development. Early intervention services may be beneficial for those affected.