P52.22 Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• Bleeding into cerebral cortex
• Subependymal hemorrhage with intracerebral extension

Applies from P52 Intracranial nontraumatic hemorrhage of newborn

Includes

• intracranial hemorrhage due to anoxia or hypoxia

Excludes1 (never code together)

• intracranial hemorrhage due to birth injury (P10.-)
• intracranial hemorrhage due to other injury (S06.-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 248 — Intracranial Hemorrhage

MS-DRG index

Defines the logic of DRG(s) 791 in MDC 15.

Approximate ICD-9-CM (GEMs)

• 772.14 Intraventricular hemorrhage, grade IV

Code annotations containing back-references to P52.22

Back-references to P52

• Type 1 Excludes: P10 Intracranial laceration and hemorrhage due to birth injury ("intracranial hemorrhage of newborn due to anoxia or hypoxia (P52.-)")
• Type 1 Excludes: P10 Intracranial laceration and hemorrhage due to birth injury ("nontraumatic intracranial hemorrhage of newborn (P52.-)")
• Type 1 Excludes: P84 Other problems with newborn ("intracranial hemorrhage due to anoxia or hypoxia (P52.-)")
• Code First: P91.811 Neonatal encephalopathy in diseases classified elsewhere ("intracranial nontraumatic hemorrhage of newborn (P52.-)")
• Type 2 Excludes: P91.82 Neonatal cerebral infarction ("intracranial hemorrhage of newborn (P52.-)")

Diagnosis Index entries for P52.22

• Hemorrhage, hemorrhagic (concealed) › intraventricular › newborn (nontraumatic) › grade › 4
• Hemorrhage, hemorrhagic (concealed) › subependymal › newborn › with intraventricular extension › and intracerebral extension
• Newborn (infant) (liveborn) (singleton) › affected by › bleeding (into) › cerebral cortex
• Newborn (infant) (liveborn) (singleton) › affected by › hemorrhage (antepartum) › intraventricular (nontraumatic) › grade 4
• Newborn (infant) (liveborn) (singleton) › affected by › hemorrhage (antepartum) › subependymal › with intracerebral extension

Nearby codes

• P52 Intracranial nontraumatic hemorrhage of newborn
• P52.0 Intraventricular (nontraumatic) hemorrhage, grade 1, of newborn
• P52.1 Intraventricular (nontraumatic) hemorrhage, grade 2, of newborn
• P52.2 Intraventricular (nontraumatic) hemorrhage, grade 3 and grade 4, of newborn
• P52.21 Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn
• P52.22 Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn (this code)
• P52.3 Unspecified intraventricular (nontraumatic) hemorrhage of newborn
• P52.4 Intracerebral (nontraumatic) hemorrhage of newborn
• P52.5 Subarachnoid (nontraumatic) hemorrhage of newborn
• P52.6 Cerebellar (nontraumatic) and posterior fossa hemorrhage of newborn
• P52.8 Other intracranial (nontraumatic) hemorrhages of newborn