Shaken infant syndrome, sequela

This code signifies the long-term or residual effects resulting from Shaken Infant Syndrome (SIS), a severe form of child abuse involving violent shaking. These sequelae can manifest as a wide range of physical, neurological, and developmental impairments that persist after the initial injury.

Use this code when documenting conditions or disabilities that are directly attributable to a past episode of Shaken Infant Syndrome. This applies to follow-up care for patients who previously sustained SIS and are now presenting with chronic issues such as cerebral palsy, intellectual disability, vision impairment, or seizure disorders linked to the original trauma.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated (e.g., G80.9 for cerebral palsy).
• Ensure documentation clearly links the current condition to a history of Shaken Infant Syndrome.
• This "S" seventh character indicates sequela and should be used for complications or conditions that arise as a direct result of the initial injury, even if the injury itself occurred in the distant past.