Contus/lac right cerebrum w LOC of 6 hours to 24 hours, subs

This code signifies a traumatic brain injury involving bruising and tearing of the right cerebral hemisphere, accompanied by a prolonged period of unconsciousness lasting between 6 and 24 hours. This specific code is used when the patient is receiving active treatment for the injury after the initial encounter.

Apply this code for follow-up care, such as hospital admissions for continued management, rehabilitation, or subsequent clinic visits, for a patient who sustained a right cerebral contusion and laceration with a documented loss of consciousness between 6 and 24 hours. Documentation should clearly state the laterality, type of injury, duration of unconsciousness, and that the encounter is not the initial treatment.

• Ensure documentation specifies "right cerebrum" and a loss of consciousness duration within the 6-24 hour range.
• This "D" seventh character indicates a subsequent encounter; use "A" for the initial encounter and "S" for sequelae.
• Always code any associated open intracranial wound or skull fracture separately if present.