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
Click here to learn more about Shelly and the rest of the Proactive team.