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Home/Diagnosis/ICD-10 Coding for Brain Trauma

ICD-10 Coding for Brain Trauma

S06.0X0A
S06.2X1A

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

Also Known as:
Traumatic Brain Injury
Head Injury
Concussion
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Key Information: ICD-10 Coding for Brain Trauma

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

Use ICD-10 code S06.0X0A for concussion without loss of consciousness, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Concussion without loss of consciousness, initial encounter

Billable Code
S06.0X0A
Billable

Diagnostic Criteria

  • • Patient presents with symptoms of concussion but no LOC

Applicable To

  • • Mild traumatic brain injury without LOC

Important Notes

  • • Ensure documentation clearly states the absence of LOC to use this code.

Diffuse traumatic brain injury with loss of consciousness of 31-59 minutes, initial encounter

Billable Code
S06.2X1A
Billable

Diagnostic Criteria

  • • Documented LOC between 31 and 59 minutes
  • • Imaging findings consistent with diffuse injury

Applicable To

  • • Moderate traumatic brain injury

Important Notes

  • • Ensure LOC duration is accurately documented to avoid misclassification.
Ancillary Codes

Additional codes that may be used with this diagnosis

R40.244

Glasgow Coma Scale score 9-12

Use to document the severity of consciousness impairment in TBI cases.

R40.2443

Glasgow Coma Scale score 13-15

Use to document the level of consciousness at the time of assessment.

Frequently Asked Questions

What is the ICD-10 code for a concussion without loss of consciousness?

The ICD-10 code for a concussion without loss of consciousness is S06.0X0A. It is used when a patient presents with a concussion and there is no documented loss of consciousness.

How do you code a traumatic brain injury with a 45-minute loss of consciousness?

For a traumatic brain injury with a 45-minute loss of consciousness, use ICD-10 code S06.2X1A, which covers diffuse TBI with LOC between 31 and 59 minutes.

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