I am hoping someone can help me code for a patient where the MD stated "Brain injury, clouds things, is able to drive and has judgment, but has effected her personality".
The brain injury was back in 2013 and when I research S06.9X0S (unspecified intracranial injury without loss of consciousness) and S06.9X9S (Unspecified intracranial injury with loss of consciousness of unspecified duration) I don't feel either are appropriate because the MD never mentions if the patient has loss of consciousness when the injury happened. I couldn't find anything in the coding guidelines about if we don't know about loss of consciousness that guidelines state code .....
Then there is the F07.0 (Personality change due to known physiological condition). Which in the index is under Disorder; Mental; following organic brain damage; personality change.
I do family practice coding and don't see this kind of diagnosis too often.
Thank you for your help.
Julie
The brain injury was back in 2013 and when I research S06.9X0S (unspecified intracranial injury without loss of consciousness) and S06.9X9S (Unspecified intracranial injury with loss of consciousness of unspecified duration) I don't feel either are appropriate because the MD never mentions if the patient has loss of consciousness when the injury happened. I couldn't find anything in the coding guidelines about if we don't know about loss of consciousness that guidelines state code .....
Then there is the F07.0 (Personality change due to known physiological condition). Which in the index is under Disorder; Mental; following organic brain damage; personality change.
I do family practice coding and don't see this kind of diagnosis too often.
Thank you for your help.
Julie