Learn about Epidural Hematoma (EDH), also known as Extradural Hematoma. This guide covers clinical documentation, medical coding, and healthcare best practices for diagnosing and managing EDH. Find information on symptoms, treatment, and ICD-10 codes related to Epidural Hematoma for accurate medical records and billing.
Also known as
Traumatic extradural hemorrhage
Skull fracture with extradural hemorrhage.
Intracranial injury
Covers various intracranial injuries, including some epidural hemorrhages.
Intracerebral hemorrhage
Includes hemorrhages within the brain, though not specifically extradural.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the epidural hematoma traumatic?
Yes
Is there skull fracture?
No
Is it due to a spontaneous bleed?
When to use each related code
| Description |
|---|
| Bleeding between the skull and dura mater. |
| Bleeding between dura and arachnoid mater. |
| Bleeding within the brain tissue itself. |
Missing or incorrect laterality (right, left, bilateral) for epidural hematoma can impact reimbursement and data accuracy.
Distinguishing traumatic from atraumatic EDH is crucial for accurate coding (S06 vs. I62) and affects quality reporting.
Coding should specify the location of the epidural hematoma (e.g., frontal, parietal) for optimal severity reflection.
Q: What are the key radiological findings for differentiating an epidural hematoma from a subdural hematoma on a CT scan?
A: Differentiating epidural hematomas (EDH) from subdural hematomas (SDH) on CT scan relies on several key features. Epidural hematomas classically appear as biconvex (lenticular), hyperdense collections of blood limited by cranial sutures, often described as having a "lens" shape. This is due to the adherence of the dura mater to the skull. Conversely, subdural hematomas typically present as crescent-shaped, hyperdense collections that can cross suture lines, conforming to the contours of the brain. While both can cause midline shift, epidural hematomas often result in more significant, localized displacement. Furthermore, evaluating the density of the hematoma can provide clues, though acute bleeds of both types can appear similarly hyperdense. Consider implementing a systematic approach to head CT interpretation focusing on shape, suture line involvement, and midline shift to confidently differentiate between EDH and SDH. Explore how advanced imaging techniques like MRI can provide further characterization in complex cases.
Q: How does the management of an acute epidural hematoma in a pediatric patient differ from that of an adult patient, and what specific considerations are crucial?
A: Managing an acute epidural hematoma (EDH) differs significantly between pediatric and adult populations due to variations in physiology and injury mechanisms. In children, the skull is more pliable, potentially delaying the presentation of symptoms despite significant bleeding. Additionally, growing skull fractures and the presence of open fontanelles can influence the clinical course. In contrast to adults where a midline shift of >5mm typically warrants surgical intervention, pediatric patients may require surgical evacuation with smaller shifts due to their lower intracranial compliance. Management should focus on rapid assessment of neurological status utilizing the Glasgow Coma Scale (GCS), prompt neurosurgical consultation for hematomas causing neurological compromise or significant midline shift, and meticulous monitoring of intracranial pressure (ICP). Learn more about the specific challenges and nuances of pediatric traumatic brain injury management to optimize patient outcomes. Consider implementing standardized protocols for pediatric EDH management in your clinical setting.
Patient presents with symptoms suggestive of an epidural hematoma (EDH), also known as an extradural hematoma. Clinical presentation includes [Insert specific presenting symptoms e.g., headache, nausea, vomiting, altered mental status, focal neurological deficits, seizures]. History includes [Insert relevant history e.g., trauma, fall, anticoagulant use, bleeding disorder]. Physical examination reveals [Insert pertinent positive and negative findings e.g., anisocoria, unilateral weakness, decreased level of consciousness, Glasgow Coma Scale score of [insert score]]. Differential diagnosis includes subdural hematoma, subarachnoid hemorrhage, concussion, and intracerebral hemorrhage. To confirm the diagnosis of epidural hematoma, a non-contrast head CT scan was ordered and revealed [Insert CT findings e.g., a biconvex, lenticular-shaped hyperdense collection of blood in the extradural space, midline shift]. Neurosurgical consultation was obtained. Given the patient's clinical presentation and radiographic findings, the diagnosis of epidural hematoma is consistent with the documented clinical picture. Treatment plan includes [Insert treatment plan e.g., close neurological monitoring, surgical intervention - craniotomy and hematoma evacuation, medical management of intracranial pressure, management of coagulopathy if present]. Patient condition is [Insert current patient condition e.g., stable, critical, improving]. Prognosis is [Insert prognosis e.g., guarded, favorable]. Follow-up head CT scan will be performed to evaluate treatment response. ICD-10 code S06.5 (Traumatic extradural hemorrhage) is documented for billing purposes. Continued monitoring for signs of neurological deterioration is warranted.