Intracerebral (nontraumatic) hemorrhage of newborn
ICD-10 P52.4 is a billable code used to indicate a diagnosis of intracerebral (nontraumatic) hemorrhage of newborn.
Intracerebral hemorrhage (ICH) in newborns is a serious condition characterized by bleeding within the brain tissue, which can occur due to various nontraumatic factors. This condition is often associated with prematurity, as the fragile blood vessels in the brain of preterm infants are more susceptible to rupture. Intraventricular hemorrhage (IVH), a related condition, involves bleeding into the brain's ventricular system and can lead to significant neurological impairment. The clinical presentation may include altered consciousness, seizures, and abnormal muscle tone. Diagnosis typically involves neuroimaging techniques such as ultrasound or MRI. Management may include supportive care, monitoring for complications, and in severe cases, surgical intervention. Early recognition and intervention are crucial to improve outcomes for affected newborns.
Detailed documentation of neurological assessments, imaging results, and treatment plans.
Newborns in the NICU presenting with seizures or altered consciousness due to suspected hemorrhage.
Consideration of gestational age and associated risk factors such as low birth weight.
Comprehensive history and physical examination findings, including developmental assessments.
Follow-up visits for infants with a history of intracerebral hemorrhage.
Monitoring for long-term developmental outcomes and potential complications.
Used to diagnose intracerebral hemorrhage in a newborn presenting with neurological symptoms.
Document indications for the ultrasound and findings.
Neonatologists should ensure imaging findings correlate with clinical assessments.
Common causes include prematurity, hypoxia, coagulopathy, and vascular malformations. Premature infants are particularly at risk due to the fragility of their blood vessels.
