2021 ICD-10-CM Code S06.0X

Concussion

Version 2021

Not Valid for Submission

S06.0X is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of concussion. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

ICD-10:S06.0X
Short Description:Concussion
Long Description:Concussion

Code Classification

Coding Guidelines

The appropriate 7th character is to be added to each code from block Intracranial injury (S06). Use the following options for the aplicable episode of care:

Specific Coding for Concussion

Non-specific codes like S06.0X require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for concussion:

  • NON-BILLABLE CODE - S06.0X0 for Concussion without loss of consciousness
  • BILLABLE CODE - Use S06.0X0A for initial encounter
  • BILLABLE CODE - Use S06.0X0D for subsequent encounter
  • BILLABLE CODE - Use S06.0X0S for sequela
  • NON-BILLABLE CODE - S06.0X1 for Concussion with loss of consciousness of 30 minutes or less
  • BILLABLE CODE - Use S06.0X1A for initial encounter
  • BILLABLE CODE - Use S06.0X1D for subsequent encounter
  • BILLABLE CODE - Use S06.0X1S for sequela
  • NON-BILLABLE CODE - S06.0X9 for Concussion with loss of consciousness of unspecified duration
  • BILLABLE CODE - Use S06.0X9A for initial encounter
  • BILLABLE CODE - Use S06.0X9D for subsequent encounter
  • BILLABLE CODE - Use S06.0X9S for sequela

Clinical Information

Information for Patients


Concussion

Also called: Brain concussion

A concussion is a type of brain injury. It involves a short loss of normal brain function. It happens when a hit to the head or body causes your head and brain to move rapidly back and forth. This sudden movement can cause the brain to bounce around or twist in the skull, creating chemical changes in your brain. Sometimes it can also stretch and damage your brain cells.

Sometimes people call a concussion a "mild" brain injury. It is important to understand that while concussions may not be life-threatening, they can still be serious.

Concussions are a common type of sports injury. Other causes of concussions include blows to the head, bumping your head when you fall, being violently shaken, and car accidents.

Symptoms of a concussion may not start right away; they may start days or weeks after the injury. Symptoms may include a headache or neck pain. You may also have nausea, ringing in your ears, dizziness, or tiredness. You may feel dazed or not your normal self for several days or weeks after the injury. Consult your health care professional if any of your symptoms get worse, or if you have more serious symptoms such as

To diagnose a concussion, your health care provider will do a physical exam and will ask about your injury. You will most likely have a neurological exam, which checks your vision, balance, coordination, and reflexes. Your health care provider may also evaluate your memory and thinking. In some cases, you may also have a scan of the brain, such as a CT scan or an MRI. A scan can check for bleeding or inflammation in the brain, as well as skull fractures.

Most people recover fully after a concussion, but it can take some time. Rest is very important after a concussion because it helps the brain to heal. In the very beginning, you may need to limit physical activities or activities that involve a lot of concentration, such as studying, working on the computer, or playing video games. Doing these may cause concussion symptoms (such as headache or tiredness) to come back or get worse. Then when your health care provider says that it is ok, you can start to return to your normal activities slowly.

Centers for Disease Control and Prevention


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)