Contus/lac cereb, w LOC of 1-5 hrs 59 min, init

This code signifies a traumatic brain injury involving both bruising (contusion) and tearing (laceration) of the cerebrum, the largest part of the brain, without further specification of the injury's location. The patient experienced a moderate period of unconsciousness, specifically lasting between one and just under six hours, as a direct result of this injury.

Apply this code when documentation clearly indicates a cerebral contusion and laceration following trauma, accompanied by a documented loss of consciousness within the specified 1 to 5 hours 59 minutes timeframe. This code is appropriate for the initial encounter for treatment of this specific injury.

• Ensure the medical record explicitly states both "contusion" and "laceration" of the cerebrum.
• Verify the duration of loss of consciousness falls precisely within the 1-hour to 5-hour 59-minute window.
• Confirm this is the patient's initial encounter for this specific injury; subsequent encounters would require a different 7th character.