Traum hemor cereb, w LOC of unsp duration, sequela

This code signifies a long-term effect or complication arising from a traumatic cerebral hemorrhage, where the initial injury involved an unspecified duration of loss of consciousness. It indicates that the patient is now experiencing residual symptoms or conditions directly attributable to that past brain injury.

Use this code when documenting a sequela (e.g., cognitive deficits, motor impairments, epilepsy) resulting from a previously sustained traumatic cerebral hemorrhage with associated loss of consciousness. The patient's medical record must clearly link the current condition to the past traumatic brain injury.

• Requires a seventh character 'S' to indicate sequela, meaning the patient is seen for a residual condition of the original injury.
• Always sequence this code after the code(s) for the specific sequela being treated (e.g., G40.909 for epilepsy, R41.84 for cognitive deficit).
• Do not use for acute or subacute phases of the injury; those require codes without the 'S' seventh character.