S06.387A
ICD-10-CMContusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
This code signifies a severe traumatic brain injury involving contusion, laceration, and hemorrhage of the brainstem, resulting in immediate and sustained loss of consciousness. The critical element is that the patient succumbed to the brain injury before regaining any level of consciousness.
Apply this code for patients who experience a fatal brainstem injury with immediate and continuous loss of consciousness from the time of injury until death. Documentation must clearly state the brainstem involvement, the nature of the injury (contusion, laceration, hemorrhage), and the patient's demise due to the brain injury without regaining consciousness.
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