Traum hemor r cereb w LOC of 30 minutes or less, sequela

This code signifies a long-term effect or complication arising from a traumatic hemorrhage within the right cerebral hemisphere, where the initial injury resulted in a brief loss of consciousness (30 minutes or less). It indicates that the patient is experiencing residual symptoms or conditions directly attributable to this past brain injury.

This code is used when a patient presents with a sequela (e.g., cognitive deficits, neurological impairment, post-concussive syndrome) from a previous traumatic right cerebral hemorrhage that involved a brief period of unconsciousness. Documentation must clearly link the current condition to the past traumatic event and specify the initial loss of consciousness duration.

• Always sequence the sequela code first, followed by codes for the specific residual conditions.
• Ensure the medical record explicitly states the laterality (right cerebrum) and the duration of loss of consciousness (30 minutes or less) from the initial injury.
• Distinguish from acute injury codes, which are used for the initial encounter or active treatment of the hemorrhage.