Contus/lac cereb, w loss of consciousness of 31-59 min, init

This code signifies a traumatic brain injury involving both bruising and tearing of the cerebrum, the largest part of the brain. The patient experienced a moderate period of unconsciousness, specifically between 31 and 59 minutes, as a direct result of the injury. This represents the initial treatment for this specific brain trauma.

This code is appropriate for patients presenting with a cerebral contusion and laceration following a head injury, where the documented loss of consciousness falls within the 31 to 59-minute timeframe. Documentation must clearly state the nature of the cerebral injury (contusion and laceration) and the duration of unconsciousness. This code is used for the initial encounter for treatment of the injury.

• Ensure documentation specifies both "contusion" and "laceration" of the cerebrum; if only one is present, a different code is required.
• Verify the exact duration of loss of consciousness; codes vary significantly based on this timeframe.
• The "A" suffix indicates an initial encounter; subsequent care for this injury will require a different seventh character.