Concussion, unspecified

This code signifies a traumatic brain injury resulting from a direct or indirect force to the head, leading to a temporary disturbance of brain function. It encompasses cases where the specific nature or severity of the concussion is not documented.

Apply this code when the medical record clearly states a diagnosis of "concussion" without further specification of loss of consciousness or other detailed neurological findings. It is appropriate for initial encounters where the full extent of the injury is still being evaluated or when documentation is insufficient to assign a more specific concussion code.

• Avoid using this code if documentation specifies loss of consciousness (even momentary) or other detailed neurological deficits, as more specific codes exist.
• Always review the entire medical record for additional details that might allow for a more precise concussion code (e.g., 850.0-850.5).
• This code should generally be a primary diagnosis when it is the reason for the encounter.