Is ICD-10-CM code P52 billable?

No, P52 (Intracranial nontraumatic hemorrhage of newborn) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code P52 belong to?

P52 belongs to Chapter 16 of the ICD-10-CM tabular list: P00–P96 (Certain Conditions Originating in the Perinatal Period).

P52Not billable, use a more specific code below

Intracranial nontraumatic hemorrhage of newborn

In Hemorrhagic and hematological disorders of newborn (P50-P61), chapter 16: Certain Conditions Originating in the Perinatal Period

10 billable codes under P52: 7 are an MCC, 3 are a CC; all map to HCC 248 (Intracranial Hemorrhage).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Includes: conditions that are coded here

intracranial hemorrhage due to anoxia or hypoxia

Excludes1: not coded here, use a different code

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

Also applies, from Hemorrhagic and hematological disorders of newborn (P50-P61)

These notes sit on P50-P61 and apply to every code under it, including P52.

Excludes1: not coded here, use a different code

congenital stenosis and stricture of bile ducts (Q44.3)
Crigler-Najjar syndrome (E80.5)
Dubin-Johnson syndrome (E80.6)
Gilbert syndrome (E80.4)
hereditary hemolytic anemias (D55-D58)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Coding of conditions that originate from before birth through the 28th day after birth, including newborn record rules, prematurity, low birth weight, sepsis, and stillbirth.

General Perinatal Rules (page 71)
Observation and Evaluation of Newborns for Suspected Conditions not Found (page 73)
Coding Additional Perinatal Diagnoses (page 73)
Prematurity and Fetal Growth Retardation (page 73)
Low birth weight and immaturity status (page 74)
Bacterial Sepsis of Newborn (page 74)
Stillbirth (page 74)
COVID-19 Infection in Newborn (page 74)

Read Section I.C.16 (page 71)

All codes under P52

P52 can't be used on a claim. Pick a billable code below; grey headings group them.

P52 MS-DRGs

As the principal diagnosis, all 10 billable codes under P52 group to MS-DRG 791 or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to P52

Notes on these codes point to P52.

P10 Excludes1: intracranial hemorrhage of newborn due to anoxia or hypoxia (P52.-)
P10 Excludes1: nontraumatic intracranial hemorrhage of newborn (P52.-)
P84 Excludes1: intracranial hemorrhage due to anoxia or hypoxia (P52.-)
P91.811 Code First: intracranial nontraumatic hemorrhage of newborn (P52.-)
P91.82 Excludes2: intracranial hemorrhage of newborn (P52.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Brain Diseases

Your brain is the control center of your body. It controls your thoughts, memory, speech, and movement. It regulates the function of many organs. It's part of your nervous system, which also includes your spinal cord and peripheral nerves. The nervous system sends signals between your brain and the rest of the body. Your nerves take in information from your senses and send it to the brain to be processed. Your brain and nerves also communicate to help you move and to control your body's functions.

Uncommon Infant and Newborn Problems

It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.