2021 ICD-10-CM Code S06.0X0A
Concussion without loss of consciousness, initial encounter
Valid for Submission
S06.0X0A is a billable diagnosis code used to specify a medical diagnosis of concussion without loss of consciousness, initial encounter. The code S06.0X0A is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S06.0X0A might also be used to specify conditions or terms like brain injury without open intracranial wound and with concussion, brain injury without open intracranial wound and with concussion, brain stem contusion, brain stem contusion with open intracranial wound, brain stem contusion with open intracranial wound and concussion , cerebellar contusion with open intracranial wound, etc.
S06.0X0A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like concussion without loss of consciousness. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
The code S06.0X0A is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Emergency Medicine: Emergency Department Utilization Of Ct For Minor Blunt Head Trauma For Patients Aged 2 Through 17 Years.
| ICD-10: | S06.0X0A |
| Short Description: | Concussion without loss of consciousness, initial encounter |
| Long Description: | Concussion without loss of consciousness, initial encounter |
Code Classification
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Brain injury without open intracranial wound AND with concussion
- Brain injury without open intracranial wound AND with concussion
- Brain stem contusion
- Brain stem contusion with open intracranial wound
- Brain stem contusion with open intracranial wound AND concussion
- Cerebellar contusion with open intracranial wound
- Cerebellar contusion with open intracranial wound AND concussion
- Cerebral laceration and contusion
- Concussion cataract
- Concussion injury of brain
- Concussion with mental confusion AND/OR disorientation without loss of consciousness
- Concussion with no loss of consciousness
- Contusion of brain without open intracranial wound
- Contusion of cerebral cortex
- Cortex contusion without open intracranial wound
- Cortex contusion without open intracranial wound AND with concussion
- Cortex laceration
- Cortex laceration
- Cortex laceration with open intracranial wound
- Cortex laceration with open intracranial wound AND concussion
- Cortex laceration without open intracranial wound
- Cortex laceration without open intracranial wound AND with concussion
- Injury of lens
- Intracranial hemorrhage following injury with open intracranial wound AND concussion
- Intracranial hemorrhage following injury with open intracranial wound AND concussion
- Laceration of brain without open intracranial wound
- Open fracture of base of skull
- Open fracture of base of skull with cerebral laceration AND contusion
- Open fracture of base of skull with intracranial injury
- Repeated concussion
- Subarachnoid hemorrhage due to traumatic injury
- Subarachnoid hemorrhage following injury with open intracranial wound
- Subarachnoid hemorrhage following injury with open intracranial wound AND concussion
- Subdural hemorrhage following injury with open intracranial wound AND concussion
- Subdural hemorrhage following open wound of head
- Traumatic cataract
Convert S06.0X0A to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S06.0X0A its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 850.0 - Concussion w/o coma (Approximate Flag)
Quality Payment Program Measures
When code S06.0X0A is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.
| Quality Measure | Description | Quality Domain | Measure Type | High Priority | Submission Methods |
|---|---|---|---|---|---|
| Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years | Percentage of emergency department visits for patients aged 2 through 17 years who presented with a minor blunt head trauma who had a head CT for trauma ordered by an emergency care provider who are classified as low risk according to the Pediatric Emergency Care Applied Research Network (PECARN) prediction rules for traumatic brain injury. | Efficiency and Cost Reduction | Efficiency | YES | Claims, Registry |
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
- Convulsions or seizures
- Drowsiness or inability to wake up
- A headache that gets worse and does not go away
- Weakness, numbness, or decreased coordination
- Repeated vomiting or nausea
- Confusion
- Slurred speech
- Loss of consciousness
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
- Concussion (Medical Encyclopedia)
- Concussion - adults - discharge (Medical Encyclopedia)
- Concussion - child - discharge (Medical Encyclopedia)
- Preventing head injuries in children (Medical Encyclopedia)
[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)