ICD 10 CM S06.369S | Description & Clinical Information

ICD 10 S06.369S describes a medical condition characterized by traumatic hemorrhage of the cerebrum, which is the largest part of the brain, resulting from a traumatic brain injury to the head or a deceleration injury, such as when the head collides with a solid object during a motor vehicle accident, and in this particular case, the provider has not documented the specific affected side of the cerebrum or the duration of the patient’s unconsciousness and unresponsiveness, which may lead to a sequela, a condition that arises as a result of the initial injury.

Official Description Of S06.369S

The ICD 10 CM book defines ICD 10 code S06.369S as:

Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, sequela
Parent Code Notes: S06.3

Excludes1: any condition classifiable to S06.4-S06.6

Excludes2: focal cerebral edema (S06.1)

Use additional code, if applicable, for traumatic brain compression or herniation (S06.A-)

Parent Code Notes: S06

Includes: traumatic brain injury

Excludes1: head injury NOS (S09.90)

Code also: any associated:
open wound of head (S01.-)
skull fracture (S02.-)

Use additional code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)

When To Use S06.369S

The diagnosis code ICD 10 CM S06.369S is used to describe traumatic hemorrhage of the cerebrum, also known as a brain bleed caused by a head injury. This condition can be life-threatening and may result in various symptoms such as unconsciousness, seizures, nausea, and vomiting. The increased intracranial pressure or ICP caused by a traumatic brain injury is a serious matter that requires immediate medical attention.

To diagnose this condition, medical providers typically evaluate the patient’s history of trauma and perform a physical examination, paying specific attention to the response to stimuli and pupil dilation. Additionally, the Glasgow Coma Scale is used to determine the level of consciousness, and imaging techniques such as computed tomography or CT angiography and magnetic resonance imaging or MR angiography are used to identify and monitor the nature of the hemorrhage. In some cases, an electroencephalography may be utilized to evaluate the brain’s activity to identify any underlying issues associated with the hemorrhage.

Treatment for traumatic hemorrhage of the cerebrum may vary based on the case’s severity. The primary goal of treatment is to stabilize the patient’s condition and prevent any further damage or complications. Medications such as sedatives, antiseizure drugs, and analgesics may be prescribed to manage symptoms, and stabilization of the airway and circulation may be necessary. In some cases, the head and neck may need to be immobilized to prevent further injury, and surgery may be required to remove any blood clot or hematoma from the brain. In severe cases, an ICP monitor may be implanted to measure the intracranial pressure levels constantly.

It is essential to note that traumatic hemorrhage of the cerebrum is a severe condition that can lead to long-term or permanent brain damage. Therefore, seeking timely medical attention and effective treatment is critical to achieving optimal outcomes.

In conclusion, traumatic hemorrhage of the cerebrum is a life-threatening medical condition that requires immediate medical attention. The diagnosis code ICD 10 CM S06.369S is used to describe this condition, which can cause various symptoms such as unconsciousness and seizures. Timely diagnosis and appropriate treatment are essential to stabilize the patient’s condition and prevent any further damage or complications. Medical providers use various diagnostic tools and treatment options, such as medications, immobilization of the head and neck, and surgical procedures, to manage traumatic hemorrhage of the cerebrum effectively.

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