tci Outpatient Facility Coding Alert - 2018 Issue 4

Reader Question: Stick to ICD-10 Index for Accurate TBI Coding

Question: What are the rules surrounding traumatic brain injury (TBI) coding? I can't figure out whether or not to code as diffuse TBI versus another form. Does the provider need to specify diffuse, or are there different symptoms/elements to look for in the patient's diagnoses to conclude diffuse TBI? Washington Subscriber Answer: This is a great question that can often be a source of frustration for some radiology, neurosurgery, and emergency room (ER) coders. There are no official, designated rules in place that coders may use as a guide to TBI coding. However, as long as coders use the...

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