Valid for Submission
S06.305D is a billable code used to specify a medical diagnosis of unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S06.305D might also be used to specify conditions or terms like hind brain contusion with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level or open hindbrain contusion. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
|Short Description:||Unsp focal TBI w LOC >24 hr w ret consc lev, subs|
|Long Description:||Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter|
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Hind brain contusion with open intracranial wound, with more than 24 hours loss of consciousness and return to pre-existing conscious level
- Open hindbrain contusion
Diagnostic Related Groups
The ICD-10 code S06.305D is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2019 through 09/30/2020.
- 949 - AFTERCARE WITH CC/MCC
- 950 - AFTERCARE WITHOUT CC/MCC
Present on Admission (POA)
S06.305D is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .
CMS POA Indicator Options and Definitions
|POA Indicator Code||POA Reason for Code||CMS will pay the CC/MCC DRG?|
|Y||Diagnosis was present at time of inpatient admission.||YES|
|N||Diagnosis was not present at time of inpatient admission.||NO|
|U||Documentation insufficient to determine if the condition was present at the time of inpatient admission.||NO|
|W||Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.||YES|
|1||Unreported/Not used - Exempt from POA reporting. ||NO|
Convert S06.305D to ICD-9
- V58.89 - Other specfied aftercare (Approximate Flag)
Injury, poisoning and certain other consequences of external causes (S00–T98)
Injuries to the head (S00-S09)
Intracranial injury (S06)
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
(First year ICD-10-CM implemented into the HIPAA code set)
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020