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Home/Diagnosis/ICD-10 Coding for Concussion with Loss of Consciousness

ICD-10 Coding for Concussion with Loss of Consciousness

S06.0X1A
S06.0X2A
S06.0X3A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for concussion with loss of consciousness includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Traumatic Brain Injury with LOC
Mild TBI with LOC
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Key Information: ICD-10 Coding for Concussion with Loss of Consciousness

Essential facts and insights about ICD-10 Coding for Concussion with Loss of Consciousness

Use ICD-10 code S06.0X1A for concussion with loss of consciousness of 30 minutes or less, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Concussion with loss of consciousness of 30 minutes or less, initial encounter

Billable Code
S06.0X1A
Billable

Diagnostic Criteria

  • • Documented LOC duration less than 30 minutes
  • • Mechanism of injury

Applicable To

  • • Concussion with brief LOC

Important Notes

  • • Ensure the duration of LOC is clearly documented to avoid using unspecified codes.

Concussion with loss of consciousness of 30 minutes to 24 hours, initial encounter

Non-Billable
S06.0X2A
Non-Billable

Diagnostic Criteria

  • • Documented LOC duration between 30 minutes and 24 hours
  • • Mechanism of injury

Applicable To

  • • Concussion with moderate LOC

Important Notes

  • • Ensure the duration of LOC is clearly documented to avoid using unspecified codes.

Concussion with loss of consciousness of 24 hours or more, initial encounter

Non-Billable
S06.0X3A
Non-Billable

Diagnostic Criteria

  • • Documented LOC duration of 24 hours or more
  • • Mechanism of injury

Applicable To

  • • Concussion with prolonged LOC

Important Notes

  • • Ensure the duration of LOC is clearly documented to avoid using unspecified codes.

Concussion with loss of consciousness of unspecified duration, initial encounter

Billable Code
S06.0X9A
Billable

Diagnostic Criteria

  • • LOC occurred but duration not documented

Applicable To

  • • Concussion with unknown LOC duration

Important Notes

  • • Query the provider for LOC duration to avoid using unspecified codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

W21.31XA

Struck by football, initial encounter

Use to specify the external cause of the concussion.

Y93.63

Activity, football

Use to specify the activity during which the injury occurred.

Y92.146

Football field as the place of occurrence

Use to specify the location of the injury.

Y93.C1

Activity, driver

Use to specify the activity during which the injury occurred.

Frequently Asked Questions

What is the ICD-10 code for concussion with loss of consciousness?

The ICD-10 code for concussion with loss of consciousness varies based on duration: S06.0X1A for less than 30 minutes, S06.0X2A for 30 minutes to 24 hours, and S06.0X3A for 24 hours or more.

How do you document a concussion with loss of consciousness?

Document the duration of loss of consciousness, mechanism of injury, and any associated symptoms. This ensures accurate ICD-10 coding and compliance.

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