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Home/Diagnosis/ICD-10 Coding for Traumatic Subdural Hemorrhage

ICD-10 Coding for Traumatic Subdural Hemorrhage

S06.5X0A
S06.5X1A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for traumatic subdural hemorrhage includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Traumatic SDH
Subdural Hematoma due to Trauma
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Key Information: ICD-10 Coding for Traumatic Subdural Hemorrhage

Essential facts and insights about ICD-10 Coding for Traumatic Subdural Hemorrhage

Use ICD-10 code S06.5X0A for traumatic subdural hemorrhage without loss of consciousness, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Traumatic subdural hemorrhage without loss of consciousness, initial encounter

Billable Code
S06.5X0A
Billable

Diagnostic Criteria

clinical:
  • • Presence of subdural hemorrhage confirmed by imaging
documentation:
  • • Explicit mention of trauma as the cause

Applicable To

  • • Acute traumatic subdural hematoma without LOC

Important Notes

  • • Ensure the documentation specifies 'traumatic' to differentiate from nontraumatic causes.

Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter

Billable Code
S06.5X1A
Billable

Diagnostic Criteria

clinical:
  • • CT or MRI confirming subdural hemorrhage
documentation:
  • • Documentation of trauma and LOC duration

Applicable To

  • • Acute traumatic subdural hematoma with brief LOC

Important Notes

  • • Ensure LOC duration is documented to select the correct code.
Ancillary Codes

Additional codes that may be used with this diagnosis

S02.0XXA

Fracture of vault of skull, initial encounter

Use if there is an associated skull fracture.

Frequently Asked Questions

What is the ICD-10 code for traumatic subdural hemorrhage?

The ICD-10 code for traumatic subdural hemorrhage is S06.5X-, with specific codes based on loss of consciousness duration and encounter type.

How is traumatic subdural hemorrhage documented?

Document the mechanism of injury, loss of consciousness duration, imaging findings, and treatment plan to ensure accurate coding.

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