Oth intracranial injury w/o loss of consciousness, sequela

This code signifies a long-term effect or complication arising from a previously sustained, non-concussive intracranial injury where the patient did not experience a loss of consciousness at the time of the initial injury. It indicates that the patient is currently experiencing residual symptoms or conditions directly attributable to that past head trauma, excluding those classified as concussion.

Apply this code when documenting a sequela (e.g., chronic headache, cognitive deficits, post-traumatic epilepsy) directly linked to a past intracranial injury that did not involve loss of consciousness and is not otherwise specified. The patient's medical record should clearly state the prior injury and its ongoing impact, with a definitive link established between the two.

• Always sequence this S-code as a secondary diagnosis, following the code for the specific sequela (e.g., G40.509 for post-traumatic epilepsy).
• Ensure documentation explicitly states "sequela" or "due to previous injury" and specifies the absence of loss of consciousness during the initial event.
• Distinguish from acute injury codes (S06.89XA) and codes for concussion sequelae (S06.81XS).