2021 ICD-10-CM Code S06.9X
Unspecified intracranial injury
Not Valid for Submission
S06.9X is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified intracranial injury. 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.
Unspecified diagnosis codes like S06.9X 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: | S06.9X |
| Short Description: | Unspecified intracranial injury |
| Long Description: | Unspecified intracranial injury |
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 Unspecified intracranial injury
Non-specific codes like S06.9X 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 unspecified intracranial injury:
- NON-BILLABLE CODE - S06.9X0 for Unspecified intracranial injury without loss of consciousness
- BILLABLE CODE - Use S06.9X0A for initial encounter
- BILLABLE CODE - Use S06.9X0D for subsequent encounter
- BILLABLE CODE - Use S06.9X0S for sequela
- NON-BILLABLE CODE - S06.9X1 for Unspecified intracranial injury with loss of consciousness of 30 minutes or less
- BILLABLE CODE - Use S06.9X1A for initial encounter
- BILLABLE CODE - Use S06.9X1D for subsequent encounter
- BILLABLE CODE - Use S06.9X1S for sequela
- NON-BILLABLE CODE - S06.9X2 for Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes
- BILLABLE CODE - Use S06.9X2A for initial encounter
- BILLABLE CODE - Use S06.9X2D for subsequent encounter
- BILLABLE CODE - Use S06.9X2S for sequela
- NON-BILLABLE CODE - S06.9X3 for Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes
- BILLABLE CODE - Use S06.9X3A for initial encounter
- BILLABLE CODE - Use S06.9X3D for subsequent encounter
- BILLABLE CODE - Use S06.9X3S for sequela
- NON-BILLABLE CODE - S06.9X4 for Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours
- BILLABLE CODE - Use S06.9X4A for initial encounter
- BILLABLE CODE - Use S06.9X4D for subsequent encounter
- BILLABLE CODE - Use S06.9X4S for sequela
- NON-BILLABLE CODE - S06.9X5 for Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level
- BILLABLE CODE - Use S06.9X5A for initial encounter
- BILLABLE CODE - Use S06.9X5D for subsequent encounter
- BILLABLE CODE - Use S06.9X5S for sequela
- NON-BILLABLE CODE - S06.9X6 for Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving
- BILLABLE CODE - Use S06.9X6A for initial encounter
- BILLABLE CODE - Use S06.9X6D for subsequent encounter
- BILLABLE CODE - Use S06.9X6S for sequela
- NON-BILLABLE CODE - S06.9X7 for Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness
- BILLABLE CODE - Use S06.9X7A for initial encounter
- NON-BILLABLE CODE - S06.9X8 for Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness
- BILLABLE CODE - Use S06.9X8A for initial encounter
- NON-BILLABLE CODE - S06.9X9 for Unspecified intracranial injury with loss of consciousness of unspecified duration
- BILLABLE CODE - Use S06.9X9A for initial encounter
- BILLABLE CODE - Use S06.9X9D for subsequent encounter
- BILLABLE CODE - Use S06.9X9S for sequela
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)