Traumatic Subdural hematoma

Patient had recent Subdural hematoma due to a fall. Patient admitted with AMS and found to have UTI. Ct head showed Subdural hematoma stable. Neuro consultant reported resolving Subdural hematoma. Just wondering on how do you code the Subdural hematoma. Will you code it to traumatic Subdural hematoma, subsequent encounter or Chronic Subdural hemorrhage (non-traumatic)

thanks

Comments

  • I believe I would code the subsequent encounter based on coding clinic 3Q 1990. It's not the exact same situation but I think the logic carries.

  • Thanks, that’s what I did

Sign In or Register to comment.