A resident had a fall and suffered a traumatic brain injury. Should we be using the 169 codes for deficits following other nontraumatic intracranial hemorrhage if the deficits are related to the fall with traumatic brain injury?
S06.9- is the appropriate category for coding traumatic brain injury. D should be used as the 7th character to indicate the subsequent care being provided. In this situation, you would not use the I69 codes since it is traumatic versus non-traumatic brain injury.
Blog by Shelly Maffia, MSN, MBA, RN, LNHA, QCP, CHC, CLNC, Proactive Medical Review
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