Concussion

Effective October 1, 2003, changes have been made to the codes for concussion to indicate loss of consciousness for periods lasting 30 minutes or less. Prior to this change, the shortest timeframe for loss of consciousness for these codes was less than one hour. The code change has been made so that the time frames reported will be consistent with the surveillance definition recommended for mild traumatic brain injury developed by The National Center for Injury Prevention and Control and a group of experts established a surveillance definition for mild traumatic brain injury. Loss of consciousness lasting 30 minutes...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a diagnosis coding update affecting concussion reporting, including the effective date, the reason for the change, and the revised time-based structure for documenting loss of consciousness. It is relevant to coders, billing staff, and compliance teams working with injury and neurological diagnosis coding, especially where historical and revised code structures need to be understood. The article also references the public health surveillance context that supported the update.

Why This Topic Matters

Understanding this coding update helps avoid using outdated diagnosis structure and supports consistent reporting aligned with the referenced surveillance framework. It is useful for anyone reviewing legacy claims, archived records, or code set history.

What You Will Learn

  • The effective date of the concussion coding update
  • The general reason the concussion code structure was revised
  • How the article frames the updated time-based reporting categories
  • The public health surveillance context referenced in the update

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance professionals
  • Health information management professionals

Codes Discussed

  • ICD-9-CM: 850
  • ICD-9-CM: 850.1
  • ICD-9-CM: 850.11
  • ICD-9-CM: 850.12

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