P52.5

P52.5: Subarachnoid (nontraumatic) hemorrhage of newborn

Billable / specific codeICD-10-CM

P52.5 is a billable, specific ICD-10-CM code for subarachnoid (nontraumatic) hemorrhage of newborn. It is valid for submission on a claim.

Check P52.5 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above P52.5

A category’s note binds every code beneath it.

Written on P52: Intracranial nontraumatic hemorrhage of newborn

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

Other codes that can never be billed with P52.5

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

P10Intracranial laceration and hemorrhage due to birth injury
P84Other problems with newborn

Risk adjustment

P52.5 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

P52.5 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Hematoma›subarachnoid›newborn(nontraumatic)
Hemorrhage, hemorrhagic›intracranial›subarachnoid›newborn
Newborn›affected by›hemorrhage›subarachnoid(nontraumatic)

Code history

Unchanged in every release from FY2024 to FY2027.