ICD-10-CM Code S06.389

Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration

Version 2020 Non-Billable Code

Not Valid for Submission

S06.389 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S06.389 might also be used to specify conditions or terms like brain contusion with open intracranial wound, with 1-24 hours loss of consciousness, brain stem contusion with open intracranial wound, brain stem contusion with open intracranial wound and brief loss of consciousness , brain stem contusion with open intracranial wound and loss of consciousness, brain stem contusion with open intracranial wound and moderate loss of consciousness , brain stem contusion without open intracranial wound, etc

ICD-10:	S06.389
Short Description:	Contus/lac/hem brainstem w LOC of unsp duration
Long Description:	Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration

Consider the following ICD-10 codes with a higher level of specificity:

S06.389A - ... initial encounter
S06.389D - ... subsequent encounter
S06.389S - ... sequela

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code S06.389:

Inclusion Terms

Contusion, laceration, and hemorrhage of brainstem NOS

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 1-24 hours loss of consciousness
Brain stem contusion with open intracranial wound
Brain stem contusion with open intracranial wound AND brief loss of consciousness
Brain stem contusion with open intracranial wound AND loss of consciousness
Brain stem contusion with open intracranial wound AND moderate loss of consciousness
Brain stem contusion without open intracranial wound
Brain stem contusion without open intracranial wound
Brain stem contusion without open intracranial wound AND with brief loss of consciousness
Brain stem contusion without open intracranial wound AND with concussion
Brain stem contusion without open intracranial wound AND with loss of consciousness
Brain stem contusion without open intracranial wound AND with moderate loss of consciousness
Brain stem hemorrhage
Brain stem hemorrhage
Brain stem laceration with open intracranial wound
Brain stem laceration with open intracranial wound AND brief loss of consciousness
Brain stem laceration with open intracranial wound AND loss of consciousness
Brain stem laceration with open intracranial wound AND moderate loss of consciousness
Brain stem laceration without open intracranial wound
Brain stem laceration without open intracranial wound AND with brief loss of consciousness
Brain stem laceration without open intracranial wound AND with loss of consciousness
Brain stem laceration without open intracranial wound AND with moderate loss of consciousness
Focal injury of brainstem
Focal laceration of brainstem
Focal non-hemorrhagic contusion of brainstem
Focal traumatic hematoma of brainstem
Focal traumatic hemorrhage of brainstem
Hematoma of brain
Intraparenchymal hematoma of brain
Open hindbrain contusion
Primary traumatic hemorrhage of brainstem
Secondary traumatic hemorrhage of brainstem
Traumatic hemorrhage of brainstem

Code Classification

Injury, poisoning and certain other consequences of external causes (S00–T98)
- Injuries to the head (S00-S09)
  - Intracranial injury (S06)

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

Information for Patients

Traumatic Brain Injury

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

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