Contus/lac cereb, with LOC status unknown, subs

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

📋Clinical Description

This code signifies a traumatic brain injury involving both bruising and tearing of the cerebral tissue, where the duration of unconsciousness is not documented. This particular instance refers to a patient presenting for follow-up care or during the recovery phase after the initial injury.

🎯When to Use

Apply this code for a patient receiving ongoing treatment or rehabilitation for a cerebral contusion and laceration, when the initial encounter has passed, and the loss of consciousness status was not recorded. Documentation should clearly indicate a previous diagnosis of this specific brain injury and the current visit being for subsequent care.

💡Coding Tips

Ensure the encounter is truly "subsequent" and not the initial treatment for this injury.
Verify that the documentation explicitly states "unspecified" regarding the loss of consciousness, or that no information about LOC is available.
Differentiate from codes for initial encounters or those with specified loss of consciousness duration.

AI-generated reference — verify against official guidelines

Code Hierarchy

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

S06.33AD(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