Traum hemor left cerebrum w LOC of unsp duration, subs

This code signifies a traumatic bleeding event within the left cerebral hemisphere that occurred previously, resulting in a period of unconsciousness of unknown length. It indicates that the patient is receiving follow-up care for the sequelae of this specific brain injury.

Apply this code for patients presenting for ongoing treatment, rehabilitation, or monitoring related to a previously diagnosed traumatic left cerebral hemorrhage with associated loss of consciousness. Documentation should clearly state the traumatic etiology, the location of the hemorrhage, and that it is a subsequent encounter for the injury.

• Ensure documentation specifies "subsequent encounter" for accurate code assignment.
• Do not use this code for initial treatment of the injury; a different 7th character (A) would be appropriate for the initial encounter.
• Verify the laterality (left cerebrum) and the traumatic nature of the hemorrhage. If the hemorrhage is non-traumatic, a different code series would be used.