Valid for Submission
S06.309S is a billable code used to specify a medical diagnosis of unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S06.309S might also be used to specify conditions or terms like closed fracture of base of skull, closed fracture of base of skull with intracranial hemorrhage, closed fracture of vault of skull, closed fracture of vault of skull with intracranial hemorrhage, closed skull fracture with intracranial hemorrhage, closed skull fracture with intracranial hemorrhage, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
| ICD-10: | S06.309S |
| Short Description: | Unsp focal TBI w LOC of unsp duration, sequela |
| Long Description: | Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, sequela |
Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Closed fracture of base of skull
- Closed fracture of base of skull with intracranial hemorrhage
- Closed fracture of vault of skull
- Closed fracture of vault of skull with intracranial hemorrhage
- Closed skull fracture with intracranial hemorrhage
- Closed skull fracture with intracranial hemorrhage
- Hind brain laceration with open intracranial wound
- Hypothalamic injury
- Intracranial hemorrhage following injury with brief loss of consciousness
- Intracranial hemorrhage following injury with open intracranial wound
- Intracranial hemorrhage following injury without open intracranial wound AND with brief loss of consciousness
- Multiple focal injuries of cerebellum
- Multiple focal injuries of cerebrum
- Multiple injuries of head
- Multiple injuries of head
Present on Admission (POA)
S06.309S 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 S06.309S to ICD-9
- 907.0 - Lt eff intracranial inj (Approximate Flag)
Code Classification
Code History
- 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