ICD-9 Code 854.05

Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre-existing conscious level

Not Valid for Submission

854.05 is a legacy non-billable code used to specify a medical diagnosis of intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre-existing conscious level. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: 854.05
Short Description:Brain inj NEC-deep coma
Long Description:Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre-existing conscious level

Convert 854.05 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

  • S06.1X6A - Traum cerebral edema w LOC >24 hr w/o ret consc w surv, init
  • S06.1X7A - Traum cereb edema w LOC w death d/t brain inj bf consc, init
  • S06.1X8A - Traum cereb edema w LOC w death d/t oth cause bf consc, init
  • S06.9X6A - Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init

Code Classification

  • Injury and poisoning (800–999)
    • Intracranial injury, excluding those with skull fracture (850-854)
      • 854 Intracranial injury of other and unspecified nature

Information for Medical Professionals

Synonyms

  • Brain injury without open intracranial wound AND with prolonged loss of consciousness
  • Traumatic brain injury with prolonged loss of consciousness

Information for Patients


Coma

A coma is a deep state of unconsciousness. An individual in a coma is alive but unable to move or respond to his or her environment. Coma may occur as a complication of an underlying illness, or as a result of injuries, such as brain injury.

A coma rarely lasts more than 2 to 4 weeks. The outcome for coma depends on the cause, severity, and site of the damage. People may come out of a coma with physical, intellectual, and psychological problems. Some people may remain in a coma for years or even decades. For those people, the most common cause of death is infection, such as pneumonia.

NIH: National Institute of Neurological Disorders and Stroke

  • EEG

[Read More]

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

[Read More]

ICD-9 Footnotes

General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.