tci ED Coding & Reimbursement Alert - 2023 Issue Q2

Reader Questions: Acronym Smarts Lead to Correct TBI/LOC Dx

Question: Encounter notes indicate that the ED physician provided 62 minutes of critical care for a patient suffering from “focal TBI, LOC 23 min, w/blast injury of brain.” How should I choose a diagnosis code for this note? It’s a little nebulous to me. Michigan Subscriber Answer: You should actually choose two diagnosis codes for this critical care encounter. First, the acronyms your surgeon used — TBI and LOC — translate to “traumatic brain injury” and “loss of consciousness,” respectively. When you look at the focal TBI codes, you’ll see that S06...

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