Contus/lac cereb, with LOC status unknown, initial encounter

Contusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter

📋Clinical Description

This code signifies a traumatic brain injury involving bruising and tearing of the cerebrum, where the duration of any associated loss of consciousness is not documented. It indicates the initial treatment or evaluation for this specific injury.

🎯When to Use

Apply this code for patients presenting with cerebral contusion and laceration due to trauma, when the medical record explicitly states "loss of consciousness status unknown" or similar ambiguity regarding its duration. This code is appropriate for the initial encounter for care of the injury.

💡Coding Tips

Ensure documentation clearly states "loss of consciousness status unknown" or that the duration of LOC cannot be determined.
Do not use this code if the duration of loss of consciousness is specified (e.g., <30 minutes, 30 minutes to 5 hours, >5 hours).
Always sequence this code as the primary diagnosis when it is the reason for the encounter.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S06.33AContus/lac cereb, with loss of consciousness status unknown

S06.33AA(current)

Same Category

S06Intracranial injury S06.0Concussion S06.0XConcussion S06.0X0Concussion without loss of consciousness S06.0X0AConcussion without loss of consciousness, initial encounter S06.0X0DConcussion without loss of consciousness, subs encntr