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

ICD-10 Coding for History of Traumatic Brain Injury

Z87.820
S06.XXXS

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

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

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

clinical:
  • • No active symptoms or treatment related to TBI

Applicable To

  • • History of TBI without current symptoms

Important Notes

  • • Ensure documentation clearly states the TBI is historical with no current sequelae.

Sequelae of traumatic brain injury

Non-Billable
S06.XXXS
Non-Billable

Diagnostic Criteria

clinical:
  • • Documentation of ongoing symptoms directly linked to past TBI

Applicable To

  • • Residual effects of TBI

Important Notes

  • • Ensure the documentation links symptoms directly to the past TBI.
Ancillary Codes

Additional codes that may be used with this diagnosis

R51.9

Headache

Use to document headaches resulting from TBI.

Frequently Asked Questions

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

The ICD-10 code for a history of traumatic brain injury is Z87.820. It is used when documenting a past TBI with no current symptoms or active treatment.

When should S06.XXXS be used instead of Z87.820?

Use S06.XXXS for ongoing symptoms or conditions resulting from a past TBI, while Z87.820 is for documenting a past TBI without current symptoms.

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