Unintended awareness under general anesth during proc, init

This code signifies a patient experiencing consciousness or recall of events during a surgical or medical procedure while under general anesthesia. It represents a rare but serious complication where the patient's brain activity is not fully suppressed, leading to awareness despite the administration of anesthetic agents.

Use this code when documentation clearly indicates a patient reported or demonstrated awareness during a procedure performed under general anesthesia. This includes instances where the patient recalls conversations, sensations, or events from the intraoperative period. This code is specifically for the initial encounter where this adverse event is identified.

• Ensure documentation explicitly states "unintended awareness" or similar terminology, not just "light anesthesia."
• Confirm the anesthesia type was general; this code does not apply to regional or local anesthesia.
• The "XA" seventh character indicates the initial encounter for this specific complication.