Head Injury

kmckaigkmckaig
edited May 2016 in Pediatrics
I need some help understanding the DRG for a scenario we don't see much at my facility. I had a 12 year old boy come in from an accident with a "head injury" from the trauma. It was documented that he had a loss of consciousness of unspecified duration. He was conscious on arrival and spent the night in ICU. H & P lists the following diagnoses: 1. Head injury 2. Concussion 3. Loss of Consciousness. I thought it would go to code 959 for the closed head injury but our coder says it goes to 850 for concussion. I am trying to understand why.

Thanks for any feedback you can give.
Karen


Karen McKaig, BSN, RN, CCM, CPUR, CCDS
Case Manager
Clinical Documentation Specialist
Baxter Regional Medical Center
Mountain Home, AR 72653
870-508-1499
kmckaig@baxterregional.org

Comments

  • cynthia.a.goeweycynthia.a.goewey
    edited May 2016
    If you have an ICD-9 coding book, look up code 959. Under excludes it states excludes concussion (850.1-850.9) with head injury NOS (850.1-850.9)
    Cindy
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