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Home/Diagnosis/ICD-10 Coding for Traumatic Brain Injury (TBI)

ICD-10 Coding for Traumatic Brain Injury (TBI)

S06.0X0
S06.2X2

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

Also Known as:
Total Brain Injury
Head Trauma
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Key Information: ICD-10 Coding for Traumatic Brain Injury (TBI)

Essential facts and insights about ICD-10 Coding for Traumatic Brain Injury (TBI)

Use ICD-10 code S06.0X0 for concussion without loss of consciousness, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Concussion without loss of consciousness

Non-Billable
S06.0X0
Non-Billable

Diagnostic Criteria

clinical:
  • • No loss of consciousness observed or reported

Applicable To

  • • Mild traumatic brain injury

Important Notes

  • • Ensure documentation specifies absence of LOC.

Diffuse traumatic brain injury with loss of consciousness of 1-24 hours

Non-Billable
S06.2X2
Non-Billable

Diagnostic Criteria

clinical:
  • • Imaging showing diffuse axonal injury
  • • Documented LOC between 1 and 24 hours

Applicable To

  • • Diffuse axonal injury

Important Notes

  • • Ensure LOC duration is accurately documented.
Frequently Asked Questions

What is the ICD-10 code for total brain injury?

The ICD-10 code for total brain injury is not specific; use codes from the S06 range for traumatic brain injuries, such as S06.0X0 for concussion without LOC.

How do you code a traumatic brain injury with LOC?

Code a traumatic brain injury with LOC using specific codes like S06.2X2 for diffuse TBI with LOC of 1-24 hours, ensuring LOC duration is documented.

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