Complete ICD-10-CM coding and documentation guide for icd-10 coding for bilateral subdural hematoma includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Bilateral Subdural Hematoma
Use ICD-10 code S06.5X1A for traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Fall from slipping, tripping and stumbling, initial encounter
Use to specify the external cause of the traumatic event.
Long term (current) use of anticoagulants
Use when the patient is on anticoagulant therapy.
ICD-10 does not have a specific code for bilateral subdural hematoma; document 'bilateral' and use appropriate S06.5X or I62.0 codes.
Use S06.5X codes based on LOC duration and document 'bilateral' in the medical record.