Traum hemor r cereb w LOC of 1-5 hrs 59 minutes, sequela

This code describes a delayed effect or complication arising from a traumatic hemorrhage within the right cerebral hemisphere, where the initial injury caused a loss of consciousness lasting between one hour and five hours and fifty-nine minutes. It signifies that the patient is now presenting for treatment of a residual condition directly attributable to this specific brain injury.

Use this code when documenting the long-term effects or complications of a previously sustained traumatic right cerebral hemorrhage with a documented initial loss of consciousness duration of 1 to 5 hours 59 minutes. This applies to encounters where the sequela (e.g., chronic neurological deficits, post-traumatic epilepsy, cognitive impairment) of the original injury are being addressed. Documentation must clearly link the current condition to the past traumatic hemorrhage and specify the initial LOC duration.

• Always sequence this sequela code after the code(s) describing the specific residual condition(s) being treated.
• Ensure documentation explicitly states "sequela" or indicates a late effect of the original injury, and confirms the initial LOC duration.
• Do not use this code for the initial acute injury or for subsequent encounters addressing acute complications of the initial injury.