Traum hemor r cereb w LOC >24 hr w/o ret consc w surv, sqla

This code signifies a traumatic hemorrhage within the right cerebral hemisphere, resulting in a prolonged loss of consciousness exceeding 24 hours. Crucially, the patient has not regained their baseline level of consciousness and has survived the initial injury, indicating a persistent neurological deficit. This represents a severe and lasting consequence of the traumatic brain injury.

Apply this code when documentation clearly indicates a traumatic right cerebral hemorrhage with a Glasgow Coma Scale (GCS) score or other clinical assessment demonstrating loss of consciousness for over 24 hours. The patient's medical record must also confirm survival and a continued altered mental status, failing to return to their pre-injury conscious state. This code is appropriate for reporting the long-term effects of such an injury.

• Ensure documentation explicitly states "right cerebrum" and "loss of consciousness greater than 24 hours without return to pre-existing conscious level."
• This "S" seventh character indicates a sequela, meaning the code is used for complications or conditions arising as a direct result of the initial injury, after the acute phase has passed.
• Do not use this code for the initial acute injury; instead, use the appropriate acute traumatic hemorrhage code with the relevant seventh character (e.g., A or D) for the initial encounter.