ICD-9 Diagnosis Code 803.20

Cl skl fx NEC/mening hem

Diagnosis Code 803.20

ICD-9: 803.20
Short Description: Cl skl fx NEC/mening hem
Long Description: Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness
This is the 2014 version of the ICD-9-CM diagnosis code 803.20

Code Classification
  • Injury and poisoning
    • Fracture of skull (800-804)
      • 803 Other and unqualified skull fractures

Information for Patients


Also called: Hematoma, Hemorrhage

Bleeding is the loss of blood. It can happen inside or outside the body. Bleeding can be a reaction to a cut or other wound. It can also result from an injury to internal organs.

There are many situations in which you might bleed. A bruise is bleeding under the skin. Some strokes are caused by bleeding in the brain. Other bleeding, such as gastrointestinal bleeding, coughing up blood, or vaginal bleeding, can be a symptom of a disease.

Normally, when you bleed, your blood forms clots to stop the bleeding. Severe bleeding may require first aid or a trip to the emergency room. If you have a bleeding disorder, your blood does not form clots normally.

  • Bleeding
  • Bleeding gums
  • Bleeding into the skin
  • Intraventricular hemorrhage of the newborn
  • Splinter hemorrhages
  • Subarachnoid hemorrhage
  • Subconjunctival hemorrhage

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Head Injuries

Also called: Cranial injuries, Skull fractures, Skull injuries

Chances are you've bumped your head before. Usually, the injury is minor because your skull is hard and it protects your brain. But other head injuries can be more severe, such as a skull fracture, concussion, or traumatic brain injury.

Head injuries can be open or closed. A closed injury does not break through the skull. With an open, or penetrating, injury, an object pierces the skull and enters brain tissue. Closed injuries are not always less severe than open injuries.

Some common causes of head injuries are falls, motor vehicle accidents, violence, and sports injuries.

It is important to know the warning signs of a moderate or severe head injury. Get help immediately if the injured person has

  • A headache that gets worse or does not go away
  • Repeated vomiting or nausea
  • Convulsions or seizures
  • An inability to wake up
  • Dilation of one or both pupils of the eyes
  • Slurred speech
  • Weakness or numbness in the arms or legs
  • Loss of coordination
  • Increased confusion, restlessness, or agitation

NIH: National Institute of Neurological Disorders and Stroke

  • Head injury - first aid
  • Skull fracture

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Traumatic Brain Injury

Also called: Acquired brain injury, TBI

Traumatic brain injury (TBI) happens when a bump, blow, jolt, or other head injury causes damage to the brain. Every year, millions of people in the U.S. suffer brain injuries. More than half are bad enough that people must go to the hospital. The worst injuries can lead to permanent brain damage or death. Half of all TBIs are from motor vehicle accidents. Military personnel in combat zones are also at risk.

Symptoms of a TBI may not appear until days or weeks following the injury. A concussion is the mildest type. It can cause a headache or neck pain, nausea, ringing in the ears, dizziness, and tiredness. People with a moderate or severe TBI may have those, plus other symptoms:

  • A headache that gets worse or does not go away
  • Repeated vomiting or nausea
  • Convulsions or seizures
  • Inability to awaken from sleep
  • Slurred speech
  • Weakness or numbness in the arms and legs
  • Dilated eye pupils

Health care professionals use a neurological exam and imaging tests to assess TBI. Serious traumatic brain injuries need emergency treatment. Treatment and outcome depend on how severe the injury is. TBI can cause a wide range of changes affecting thinking, sensation, language, or emotions. TBI can be associated with post-traumatic stress disorder. People with severe injuries usually need rehabilitation.

NIH: National Institute of Neurological Disorders and Stroke

  • Brain injury - discharge
  • Chronic subdural hematoma
  • EEG
  • Extradural hemorrhage
  • Facts about Concussion and Brain Injury (Centers for Disease Control and Prevention)
  • Head injury - first aid
  • Intracranial pressure monitoring
  • Shaken baby syndrome
  • Subdural hematoma

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