P10.4

P10.4: Tentorial tear due to birth injury

Billable / specific codeICD-10-CM

P10.4 is a billable, specific ICD-10-CM code for tentorial tear due to birth injury. It is valid for submission on a claim.

Check P10.4 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above P10.4

A category’s note binds every code beneath it.

Written on P10: Intracranial laceration and hemorrhage due to birth injury

intracranial hemorrhage of newborn NOS (P52.9)
intracranial hemorrhage of newborn due to anoxia or hypoxia (P52.-)
nontraumatic intracranial hemorrhage of newborn (P52.-)

Other codes that can never be billed with P10.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

P10.0Subdural hemorrhage due to birth injury
P52Intracranial nontraumatic hemorrhage of newborn

Risk adjustment

P10.4 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 248 Intracranial Hemorrhage0.239 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

P10.4 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56612Billing and Coding: CT of the Head
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

Tear, torn›tentorial, at birth
Birth›injury NOS›tentorial tear
Hemorrhage, hemorrhagic›tentorium NEC›newborn(birth injury)

Code history

Unchanged in every release from FY2024 to FY2027.