Need some guidance on concussion coding, patient comes in with concussion without loss of consciousness still having problems with headaches and fatigue referred by family physician, our provider coded S06.0X0S, I don't agree I think it needs to be coded F07.81 then S06.0X0A initial encounter our first time seeing then Y93.72 patient is a high school wrestler. I believe that the S code should not be used as a primary code in this case. Need some quidance on the S code if it should be used as a primary diagnosis and if the Y code needs to be added. Injury happened in December 2015.
Hopefully someone can shed some light on concussion codes.
Hopefully someone can shed some light on concussion codes.