Contus/lac r cereb w LOC >24 hr w/o ret consc w surv, sqla

This code signifies a severe traumatic brain injury involving contusion and laceration of the right cerebral hemisphere, resulting in a prolonged coma (loss of consciousness exceeding 24 hours). The patient has survived the initial injury but has not regained their baseline neurological status, indicating persistent neurological deficits. This represents the sequela of the initial injury.

Apply this code when documentation clearly states a right cerebral contusion and laceration, a loss of consciousness lasting longer than 24 hours, and a permanent neurological impairment or altered conscious level as a direct result of the injury. This code is used for the sequela of the injury, meaning it's applied after the acute phase has passed and the long-term effects are being treated.

• Ensure documentation specifies "right cerebrum" and "loss of consciousness greater than 24 hours" with no return to pre-existing conscious level.
• This "S" code indicates a sequela; it should be used for complications or conditions arising as a direct result of the initial injury, after the acute injury has healed.
• Do not confuse with acute injury codes (e.g., S06.316A, D) or codes for less severe loss of consciousness.