Contus/lac right cerebrum w LOC of 31-59 min, init

This code signifies a direct injury to the right side of the brain, characterized by both bruising (contusion) and tearing (laceration) of the cerebral tissue. This specific injury resulted in a temporary loss of consciousness lasting between 31 and 59 minutes.

This code is appropriate for initial encounters where a patient presents with a traumatic brain injury involving contusion and laceration of the right cerebrum, and the medical record clearly documents a loss of consciousness within the specified 31 to 59 minute timeframe. Documentation should explicitly state the laterality of the cerebral injury and the duration of unconsciousness.

• Ensure the documentation specifies "right cerebrum" and not a generalized brain injury or left cerebrum.
• Verify the exact duration of loss of consciousness; codes vary significantly based on this timeframe.
• This "A" suffix indicates an initial encounter for the injury; subsequent care would require different seventh characters.