P10.4 — Tentorial tear due to birth injury

BillableMCC

Is P10.4 billable?

Yes — P10.4 is billable for FY2027. P10.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. P10.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.

P10.4 at a glance

Code	P10.4
Description	Tentorial tear due to birth injury
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does P10.4 group to?

P10.4 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

791Prematurity with Major Problemsmedical

As a secondary diagnosis, P10.4 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.

How is P10.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to P10.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

Tear, torn › tentorial, at birth (traumatic)
Birth › injury NOS › tentorial tear
Hemorrhage, hemorrhagic › tentoriumNEC › newborn (concealed)

Excludes1 — never code together — inherited from P10

The conditions below can never be reported together with P10.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

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

Excludes2 — not included here — inherited from Chapter 16

The conditions below are not part of P10.4, but a patient may have both at the same time. When documentation supports it, P10.4 and the excluded code may both be reported.

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
tetanus neonatorum (A33)

How long has P10.4 existed?

P10.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with P10.4?

ICD-10-CM declares these codes mutually exclusive with P10.4 — exactly one of each pair can be correct for a given encounter.

vs P10.0Subdural hemorrhage due to birth injury