Contus/lac/hem crblm w LOC of unsp duration, sequela

This code signifies a past injury to the cerebellum, characterized by bruising, tearing, and bleeding, which resulted in a period of unconsciousness of unknown length. It indicates that the patient is now experiencing residual effects or complications from this previous cerebellar trauma.

Use this code when documenting the long-term consequences or sequelae of a cerebellar contusion, laceration, and hemorrhage that occurred in the past. This code is appropriate when the patient presents for treatment of chronic neurological deficits, cognitive impairments, or other lasting issues directly attributable to the original injury, and the duration of the initial loss of consciousness was not specified. Documentation should clearly link the current condition to the old cerebellar trauma.

• This "S" seventh character indicates a sequela, meaning the patient is being treated for the late effects of the injury, not the acute injury itself.
• Do not use this code for the initial encounter or subsequent encounters for active treatment of the acute injury.
• Always sequence this sequela code first, followed by codes for the specific neurological deficits or conditions resulting from the cerebellar injury.