Epidural hemorrhage without loss of consciousness, sequela

This code signifies a long-term complication or residual effect stemming from a past epidural hemorrhage, where the patient did not experience a loss of consciousness at the time of the original injury. It indicates that the acute phase of the hemorrhage has resolved, but the patient continues to experience related symptoms or conditions.

Apply this code when documenting a patient presenting with a current condition directly attributable to a previous epidural hemorrhage without loss of consciousness. Documentation should clearly link the current sequela to the past hemorrhage and confirm the absence of acute hemorrhage or active treatment for the initial injury. Examples include chronic headaches, neurological deficits, or cognitive impairments resulting from the old injury.

• Always sequence the sequela code first, followed by codes for the specific residual conditions.
• Ensure documentation explicitly states "sequela," "late effect," or describes a chronic condition resulting from a past epidural hemorrhage.
• Distinguish from acute epidural hemorrhage codes (S06.4X0A-S06.4X0D) which are used for active or initial encounters.