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Home/Diagnosis/ICD-10 Coding for Fall with Head Injury

ICD-10 Coding for Fall with Head Injury

S06.0X1A
W19.XXXA

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

Also Known as:
Head trauma from fall
Accidental head injury due to fall
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Key Information: ICD-10 Coding for Fall with Head Injury

Essential facts and insights about ICD-10 Coding for Fall with Head Injury

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

Primary ICD-10-CM Codes

Concussion with loss of consciousness of 30 minutes or less

Billable Code
S06.0X1A
Billable

Diagnostic Criteria

  • • Presence of concussion symptoms with LOC

Applicable To

  • • Mild traumatic brain injury with brief LOC

Important Notes

  • • Ensure detailed documentation of the fall mechanism and injury specifics.

Unspecified fall, initial encounter

Billable Code
W19.XXXA
Billable

Diagnostic Criteria

  • • General description of fall without specific details

Applicable To

  • • Fall from unspecified height

Important Notes

  • • Avoid using if specific fall details are available.
Ancillary Codes

Additional codes that may be used with this diagnosis

W01.1XXA

Fall on same level from slipping, tripping and stumbling with subsequent striking against object

Use to describe the mechanism of the fall.

Frequently Asked Questions

What is the ICD-10 code for a fall with head injury?

The ICD-10 code for a fall with head injury is typically S06.0X1A for a concussion with loss of consciousness of 30 minutes or less, combined with a W code for the fall.

How do you document a fall with head injury?

Document the mechanism of the fall, any loss of consciousness, imaging results, and associated symptoms to ensure accurate coding and billing.

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