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Home/Diagnosis/ICD-10 Coding for Closed Head Trauma

ICD-10 Coding for Closed Head Trauma

S06.0X0A
S06.1X0A

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

Also Known as:
Blunt Head Injury
Non-Penetrating Head Injury
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Key Information: ICD-10 Coding for Closed Head Trauma

Essential facts and insights about ICD-10 Coding for Closed Head 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

  • • Documented absence of LOC
  • • Negative CT scan
  • • GCS 15 at 4 hours post-injury

Applicable To

  • • Concussion without LOC

Important Notes

  • • Ensure that the documentation clearly states the absence of LOC to avoid misclassification.

Traumatic cerebral edema without loss of consciousness, initial encounter

Billable Code
S06.1X0A
Billable

Diagnostic Criteria

  • • Radiologist confirmation of cerebral edema
  • • No skull fracture

Applicable To

  • • Cerebral edema without LOC

Important Notes

  • • Ensure imaging results are documented to support the use of this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

V43.52XS

Car occupant injured in collision with fixed or stationary object, sequela

Use to describe the external cause of injury in motor vehicle accidents.

Frequently Asked Questions

What is the ICD-10 code for closed head trauma without LOC?

The ICD-10 code for closed head trauma without loss of consciousness is S06.0X0A, used when a concussion occurs without any LOC.

How do you document a concussion in ICD-10?

Document the mechanism of injury, GCS score, imaging results, and specify if there was any loss of consciousness to select the appropriate ICD-10 code.

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