Brain injury, diffuse (TBI), injury/trauma: Difference between revisions
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{{ICD10 category|Neuro}}{{ICD10 category| | {{ICD10 category|Neuro}}{{ICD10 category|Trauma}}{{ICD10 category|Head trauma}} | ||
== Additional Info == | == Additional Info == | ||
Includes: <!-- all wordings for searches --> | |||
* diffuse traumatic brain injury (TBI) | |||
* herniation related to the TBI | |||
* diffuse axonal injury (DAI) | |||
* anoxic brain injury due to hanging | |||
** Shearing mechanisms lead to DAI, which is visualized pathologically and on neuroimaging studies as multiple small lesions seen within white matter tracts . Patients with severe DAI typically present with profound coma without elevated intracranial pressure (ICP), and often have poor outcome. | |||
=== Herniation === | |||
This dx includes herniation related to the TBI. For non-traumatically induced herniation, use '''[[Brain compression, including herniation]]''' instead. | |||
{{ICD10 Guideline Brain Injury}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Head trauma}} | {{ListICD10Category | categoryName = Head trauma}} | ||
*[[Brain death]] | *[[Brain death]] | ||
*[[Anoxic brain injury, NOS]] | *[[Anoxic brain injury, NOS]] | ||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
{{Trauma w mechanism}} | {{ICD10 Guideline Trauma w mechanism}} | ||
== Related CCI Codes == | == Related CCI Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 09:17, 3 November 2021
| ICD10 Diagnosis | |
| Dx: | Brain injury, diffuse (TBI), injury/trauma |
| ICD10 code: | S06.2 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Includes:
- diffuse traumatic brain injury (TBI)
- herniation related to the TBI
- diffuse axonal injury (DAI)
- anoxic brain injury due to hanging
- Shearing mechanisms lead to DAI, which is visualized pathologically and on neuroimaging studies as multiple small lesions seen within white matter tracts . Patients with severe DAI typically present with profound coma without elevated intracranial pressure (ICP), and often have poor outcome.
Herniation
This dx includes herniation related to the TBI. For non-traumatically induced herniation, use Brain compression, including herniation instead.
As a Comorbid Diagnosis
To code a TBI as a comorbid code use Brain/intracranial injury NOS, injury/trauma.
Causes of TBI
The six categories of external force that may result in TBI include:
- The head being struck by an object
- The head striking an object
- Acceleration/deceleration of the brain without direct external impact
- A foreign body penetrating the brain
- The force from a blast/explosion
- Other forces yet to be defined
Alternate ICD10s to consider coding instead or in addition
| Head trauma codes: |
Candidate Combined ICD10 codes
Traumas and their Mechanisms
- In ICD10, traumas need to be combined with separate mechanism codes to fully explain the situation.
- Here are lists of the codes for "mechanical" injuries to various body parts:
- some codes are always traumatic and always need a mechanism:
| Trauma codes: |
- Other codes may or may not be of a traumatic nature; these also qualify to be coded with trauma mechanisms listed below:
| Potential trauma codes: |
- Here is a list of the external mechanism or agent that caused the trauma:
| Mechanism codes: |
Regarding Multiple Trauma
- When a person has multiple body areas traumatized, code Multiple trauma
- When using Multiple trauma also code the individual things traumatized, e.g. leg, arm, head, etc.
- Code Multiple trauma and all the individual things traumatized as Combined ICD10 codes
- And in this case, assuming that they all have the same mechanism of injury (e.g. Mechanism of injury: motorcyclist), then you'd also code that Mechanism code as the same Combined ICD10 codes.
- If the multiple trauma is the primary admit diagnosis, then among this group of linked ICD10 codes, the Primary Admit Diagnosis would be either the Multiple trauma or the "worst" thing injured, e.g. Brain injury, diffuse (TBI), injury/trauma
Iatrogenic injuries
- Some iatrogenic codes are self-explanatory for what occurred. For example Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection. But for others, such as Iatrogenic, puncture or laceration, related to a procedure or surgery NOS it's not clear what happened, i.e. what was iatrogenically injured.
- In these latter cases, with just one exception, DO NOT also code a trauma code for what was iatrogenically injured. This is because iatrogenic injuries are technically not considered to be traumas.
- that one exception is you should code Rib fracture(s) due to CPR in the context of CPR, cardiac resuscitation.
- Instead, combine the iatrogenic code with another ICD10 code indicating the body part involved.
- e.g. for iatrogenic laceration of a pulmonary artery, combine: Iatrogenic, puncture or laceration, related to a procedure or surgery NOS with Disorder of pulmonary vessels, NOS. See list of NOS codes in ICD10.
- In these latter cases, with just one exception, DO NOT also code a trauma code for what was iatrogenically injured. This is because iatrogenic injuries are technically not considered to be traumas.
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
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