2021 ICD-10-CM Code S06.2X9
Diffuse traumatic brain injury with loss of consciousness of unspecified duration
Not Valid for Submission
S06.2X9 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of diffuse traumatic brain injury with loss of consciousness of unspecified duration. 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.
The ICD-10-CM code S06.2X9 might also be used to specify conditions or terms like brain contusion with open intracranial wound, with more than 1 hour loss of consciousness, brain injury with open intracranial wound and loss of consciousness, brain injury with open intracranial wound and loss of consciousness, brain injury with open intracranial wound and loss of consciousness, brain injury without open intracranial wound and with loss of consciousness , cerebral laceration and contusion, etc.
Unspecified diagnosis codes like S06.2X9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
| ICD-10: | S06.2X9 |
| Short Description: | Diffuse TBI w loss of consciousness of unsp duration |
| Long Description: | Diffuse traumatic brain injury with loss of consciousness of unspecified duration |
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:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Specific Coding for Diffuse TBI w loss of consciousness of unsp duration
Non-specific codes like S06.2X9 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 diffuse tbi w loss of consciousness of unsp duration:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code S06.2X9:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Diffuse traumatic brain injury NOS
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Brain contusion with open intracranial wound, with more than 1 hour loss of consciousness
- Brain injury with open intracranial wound AND loss of consciousness
- Brain injury with open intracranial wound AND loss of consciousness
- Brain injury with open intracranial wound AND loss of consciousness
- Brain injury without open intracranial wound AND with loss of consciousness
- Cerebral laceration and contusion
- Contusion of brain without open intracranial wound
- Contusion of cerebral cortex
- Contusion of cerebral cortex
- Cortex contusion with open intracranial wound
- Cortex contusion with open intracranial wound AND loss of consciousness
- Cortex contusion without open intracranial wound
- Cortex contusion without open intracranial wound AND with loss of consciousness
- Cortex laceration
- Cortex laceration
- Cortex laceration and contusion
- Cortex laceration with open intracranial wound
- Cortex laceration with open intracranial wound AND loss of consciousness
- Diffuse brain injury
- Diffuse brain injury
- Diffuse brain injury
- Diffuse injury of brainstem
- Diffuse injury of cerebellum
- Diffuse injury of cerebrum
- Hind brain laceration with open intracranial wound
- Hind brain laceration with open intracranial wound, with less than 1 hour loss of consciousness
- Intracranial hemorrhage co-occurrent and due to complex wound of head
- Intracranial hemorrhage following injury with brief loss of consciousness
- Intracranial hemorrhage following injury with loss of consciousness
- Intracranial hemorrhage following injury with loss of consciousness
- Intracranial hemorrhage following injury with moderate loss of consciousness
- Intracranial hemorrhage following injury with open intracranial wound AND concussion
- Intracranial hemorrhage following injury with open intracranial wound AND loss of consciousness
- Intracranial hemorrhage following injury with prolonged loss of consciousness AND return to pre-existing conscious level
- Intracranial hemorrhage following injury with prolonged loss of consciousness without return to pre-existing conscious level
- Intracranial injury with prolonged coma
- Laceration of brain without open intracranial wound
- Multiple injuries of head
- Multiple traumatic hemorrhages of brain tissue
- Open skull fracture with intracranial hemorrhage
- Tentorial laceration
- Traumatic brain injury with brief loss of consciousness
- Traumatic brain injury with loss of consciousness one hour or more
- Traumatic brain injury with loss of consciousness one hour or more
- Traumatic brain injury with loss of consciousness one hour or more
- Traumatic brain injury with moderate loss of consciousness
- Traumatic brain injury with prolonged loss of consciousness
- Traumatic hemorrhage of cerebral white matter
Information for Patients
Traumatic Brain Injury
Also called: Acquired brain injury, TBI
Traumatic brain injury (TBI) happens when a bump, blow, jolt, or other head injury causes damage to the brain. Every year, millions of people in the U.S. suffer brain injuries. More than half are bad enough that people must go to the hospital. The worst injuries can lead to permanent brain damage or death. Half of all TBIs are from motor vehicle accidents. Military personnel in combat zones are also at risk.
Symptoms of a TBI may not appear until days or weeks following the injury. A concussion is the mildest type. It can cause a headache or neck pain, nausea, ringing in the ears, dizziness, and tiredness. People with a moderate or severe TBI may have those, plus other symptoms:
- A headache that gets worse or does not go away
- Repeated vomiting or nausea
- Convulsions or seizures
- Inability to awaken from sleep
- Slurred speech
- Weakness or numbness in the arms and legs
- Dilated eye pupils
Health care professionals use a neurological exam and imaging tests to assess TBI. Serious traumatic brain injuries need emergency treatment. Treatment and outcome depend on how severe the injury is. TBI can cause a wide range of changes affecting thinking, sensation, language, or emotions. TBI can be associated with post-traumatic stress disorder. People with severe injuries usually need rehabilitation.
NIH: National Institute of Neurological Disorders and Stroke
- Brain injury - discharge (Medical Encyclopedia)
- Chronic subdural hematoma (Medical Encyclopedia)
- EEG (Medical Encyclopedia)
- Head injury - first aid (Medical Encyclopedia)
- Intracranial pressure monitoring (Medical Encyclopedia)
- Subdural hematoma (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)