767.19 is Other Injuries to scalp due to birth trauma, so if this isn't due to a birth trauma then it isn't appropriate to use, I would look at 920 Contusion of face/scalp/neck except eye.
Please see below
Birth trauma injuries to scalp Coding Clinic, Fourth Quarter 2003 Page: 69 to 70 Effective with discharges: October 1, 2003
Birth Trauma Injuries to Scalp
Effective October 1, 2003, code 767.1, Birth trauma, Injuries to scalp, has been expanded to uniquely identify epicranial subaponeurotic hemorrhage (subgaleal hemorrhage). Prior to this change, code 767.1 grouped together caput succedaneum, cephalhematoma, and chignon, in addition to massive epicranial subaponeurotic hemorrhage or subgaleal hemorrhage (SGH). SGH is a relatively rare event associated with high rates of newborn mortality and morbidity. The other conditions under 767.1 have no associated mortality or morbidity and are commonly seen after normal spontaneous vaginal delivery or uncomplicated forceps or vacuum extraction deliveries.
The creation of a unique code for epicranial subaponeurotic hemorrhage will assist in collecting outcomes data associated with programs to decrease the incidence of this injury. As the number of vacuum extraction deliveries increases, the frequency of this injury has also increased.
The United States Food and Drug Administration (FDA) issued a public health advisory in 1998 regarding the need for caution when using vacuum assisted delivery devices. Two of the major life-threatening complications associated with the use of vacuum assisted devices were subgaleal hemorrhage and intracranial hemorrhage (subdural, subarachnoid, intraventricular, or intraparenchymal hemorrhage).
Subgaleal hemorrhage occurs when blood accumulates in the space between the galea aponeurotica (epicranial aponeurosis) and the periosteum of the skull (pericranium) resulting from damage to the emissary veins. Signs of subgaleal hemorrhage may be present at delivery or become apparent several hours or a few days following delivery.
767 Birth trauma
767.1 Injuries to scalp
Delete *Caput succedaneum
*Chignon (from vacuum extraction)
*Massive epicranial subaponeurotic
New code 767.11 Epicranial subaponeurotic hemorrhage
New code 767.19 Other injuries to scalp
Chignon (from vacuum extraction)
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