ICD-10-CM Coding Guidance for Traumatic Brain Injury DoD TBI Definition Medical Provider Screening and Diagnostic Coding A traumatically induced structural injury or physiological disruption of brain function as a result of external force that is indicated...
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ICD-10-CM Coding Guidance for Traumatic Brain Injury DoD TBI Definition Medical Provider Screening and Diagnostic Coding A traumatically induced structural injury or physiological disruption of brain function as a result of external force that is indicated by new onset or worsening of at least one of the TBI Screening following clinical signs immediately following the event: Coding Sequence: Any alteration in mental status (e.g., confusion, disorientation, slowed thinking, etc.) 1. Code Z13.850 Any loss of memory for events immediately before or after the injury Positive No 2. Primary symptom code, if applicable Any period of loss of or a decreased level of consciousness, observed or self-reported TBI 3. Deployment code, if screen? applicable** 4. Place of occurrence code, if External forces may include any of the following events: the head being struck by an object, applicable the head striking an object, the brain undergoing an acceleration/deceleration movement Yes 5. Activity
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