Published Apr 21, 2023
glm777, BSN, RN
104 Posts
A resident had a seizure, fell, lost consciousness and received a laceration to his scalp.
How would you code this in section J? His fall was related to a medical event - not a trip or loss of balance. Also, a major injury is described as a "closed head injury with alteration in consciousness". His head CT scan at the hospital was negative.
All feedback appreciated!