Contus/lac left cerebrum w LOC of 31-59 min, subs

This code signifies a brain injury involving both bruising (contusion) and tearing (laceration) of the left cerebral hemisphere. The patient experienced a loss of consciousness lasting between 31 and 59 minutes as a direct result of this trauma.

Apply this code for follow-up care of a patient previously diagnosed with a left cerebral contusion and laceration, where the initial injury involved a loss of consciousness within the specified time frame. Documentation should clearly indicate the laterality (left cerebrum), the nature of the injury (contusion and laceration), and the duration of the initial loss of consciousness.

• Ensure "subsequent encounter" is clearly documented for ongoing treatment or recovery phases.
• Verify the exact duration of loss of consciousness; codes vary based on time increments.
• Distinguish from codes for contusion only or laceration only; this code requires both.