Complete ICD-10-CM coding and documentation guide for icd-10 coding for chronic subdural haematoma includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Chronic Subdural Haematoma
Use ICD-10 code S06.5X-S for traumatic subdural hemorrhage, sequela, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Persistent altered mental status
Use when altered mental status is documented alongside cSDH.
Long term (current) use of anticoagulants
Use when anticoagulant use is documented and relevant to the cSDH.
The ICD-10 code for traumatic chronic subdural haematoma is S06.5X-S, while non-traumatic cases use I69.21-.
Documentation should specify chronicity, etiology, and any associated symptoms or deficits. Include terms like 'chronic' and 'traumatic origin'.