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Home/Diagnosis/ICD-10 Coding for History of Brain Injury

ICD-10 Coding for History of Brain Injury

Z87.820
S06.9X0S

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

Also Known as:
History of Traumatic Brain Injury
Past Brain Injury
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Key Information: ICD-10 Coding for History of Brain Injury

Essential facts and insights about ICD-10 Coding for History of Brain Injury

Use ICD-10 code Z87.820 for personal history of traumatic brain injury, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Personal history of traumatic brain injury

Billable Code
Z87.820
Billable

Diagnostic Criteria

  • • Presence of documented past TBI with relevant details

Applicable To

  • • History of TBI

Important Notes

  • • Ensure documentation clearly distinguishes between history and active sequelae.

Unspecified intracranial injury with loss of consciousness status unknown, sequela

Billable Code
S06.9X0S
Billable

Diagnostic Criteria

  • • Evidence of ongoing treatment or monitoring for sequelae

Applicable To

  • • Sequelae of past TBI

Important Notes

  • • Ensure sequelae are clearly documented and linked to the past TBI.
Ancillary Codes

Additional codes that may be used with this diagnosis

R41.8

Other specified symptoms and signs involving cognitive functions and awareness

Use to document cognitive deficits resulting from TBI.

V43.62XS

Car accident sequela

Use to document the external cause of the TBI.

Frequently Asked Questions

What is the ICD-10 code for history of brain injury?

The ICD-10 code for history of brain injury is Z87.820, used to indicate a past traumatic brain injury that may impact current or future care.

How do you document a history of brain injury?

Document the date and mechanism of the initial TBI, any residual symptoms, and their impact on current health to ensure comprehensive records.

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