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Home/Diagnosis/ICD-10 Coding for Brain Edema

ICD-10 Coding for Brain Edema

G93.6
S06.1X-

Complete ICD-10-CM coding and documentation guide for icd-10 coding for brain edema includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Cerebral Edema
Intracranial Edema
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Key Information: ICD-10 Coding for Brain Edema

Essential facts and insights about ICD-10 Coding for Brain Edema

Use ICD-10 code G93.6 for cerebral edema, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Cerebral edema

Billable Code
G93.6
Billable

Diagnostic Criteria

clinical:
  • • Presence of significant midline shift on imaging
documentation:
  • • Explicit mention of 'cerebral edema' in clinical notes

Applicable To

  • • Non-traumatic cerebral edema

Important Notes

  • • Ensure clinical documentation explicitly states 'cerebral edema' and links it to clinical findings.

Traumatic cerebral edema

Non-Billable
S06.1X-
Non-Billable

Diagnostic Criteria

clinical:
  • • Documented head trauma
  • • Imaging findings consistent with edema
  • • Clinical symptoms such as altered consciousness

Applicable To

  • • Cerebral edema due to head trauma

Important Notes

  • • Ensure trauma is documented as the cause of edema.
Ancillary Codes

Additional codes that may be used with this diagnosis

G93.5

Compression of brain

Use when there is documented brain compression alongside cerebral edema.

Frequently Asked Questions

What is the ICD-10 code for cerebral edema?

The ICD-10 code for cerebral edema is G93.6, used for non-traumatic cases. For traumatic cerebral edema, use S06.1X- codes.

How does cerebral edema affect DRG reimbursement?

Cerebral edema is an MCC, significantly impacting DRG reimbursement by increasing the weight and potential payment for the case.

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