2025 ICD-10-CM code F07.81
Postconcussional syndrome.This condition is characterized by persistent symptoms like headache, vertigo, and other neurological issues following a head injury or forceful shaking of the head or body.
Medical necessity for the diagnosis and treatment of postconcussional syndrome is established by the presence of persistent symptoms following a head injury that significantly impact the patient's daily functioning.The documentation should clearly link the symptoms to the initial injury and demonstrate the need for medical intervention.
Clinicians diagnose postconcussional syndrome based on the patient's reported symptoms, medical history, a physical examination, and potentially neuropsychological testing. Imaging studies, such as CT scans and MRI scans of the brain, may be used to rule out other conditions.Treatment often involves managing individual symptoms with medication and supportive care.Referrals to specialists like ENT doctors or psychiatrists may be necessary.
- 6 (Mental, Behavioral and Neurodevelopmental disorders)
- Mental disorders due to known physiological conditions (F01-F09)
In simple words: Postconcussion syndrome is a condition that can happen after someone hits their head or their head is shaken violently.It can cause a variety of problems like headaches, dizziness, feeling tired, anxious, and having trouble sleeping, concentrating, or remembering things. These problems can last for weeks or even months after the injury.
Postconcussional syndrome encompasses a range of symptoms that can persist for weeks or months after a head injury, including fatigue, anxiety, headache, vertigo, sleep disturbances, blurred vision, difficulty concentrating, memory problems, tinnitus, sensitivity to light and noise, emotional lability, mood swings, and even seizures.Diagnosis is based on patient history, symptoms, physical and neuropsychological examinations, and imaging studies like CT and MRI. Treatment focuses on symptomatic relief and may involve medications such as NSAIDs, antidepressants, and anxiolytics, along with supportive care.
Example 1: A 20-year-old football player experiences a concussion during a game. Weeks later, he continues to experience headaches, dizziness, and difficulty concentrating, leading to a diagnosis of postconcussional syndrome., A 45-year-old individual involved in a car accident sustains a head injury.Months after the accident, they report persistent fatigue, sleep disturbances, and memory problems consistent with postconcussional syndrome., A child falls from a swing and experiences a mild head injury.Several weeks later, the child exhibits irritability, difficulty sleeping, and problems focusing in school, prompting an evaluation for postconcussional syndrome.
Documentation should include details of the initial head injury, the onset and duration of symptoms, findings from the physical and neurological examinations, results of any imaging or neuropsychological tests, and the treatment plan.Specific symptoms, such as headaches, dizziness, cognitive impairments, and emotional changes, should be clearly documented.
- Payment Status: Active
- Specialties:Neurology, Primary Care, Physical Medicine and Rehabilitation, Physiatry, Psychiatry
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital,Independent Clinic