Valid for Submission
S06.9X9D is a billable code used to specify a medical diagnosis of unspecified intracranial injury with loss of consciousness of unspecified duration, subsequent encounter. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S06.9X9D might also be used to specify conditions or terms like brain injury with open intracranial wound and brief loss of consciousness , brain injury with open intracranial wound and loss of consciousness, brain injury with open intracranial wound and moderate loss of consciousness , brain injury without open intracranial wound and with loss of consciousness, brain injury without open intracranial wound and with moderate loss of consciousness , closed fracture of base of skull, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
| ICD-10: | S06.9X9D |
| Short Description: | Unsp intracranial injury w LOC of unsp duration, subs |
| Long Description: | Unspecified intracranial injury with loss of consciousness of unspecified duration, subsequent encounter |
Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Brain injury with open intracranial wound AND brief loss of consciousness
- Brain injury with open intracranial wound AND loss of consciousness
- Brain injury with open intracranial wound AND moderate loss of consciousness
- Brain injury without open intracranial wound AND with loss of consciousness
- Brain injury without open intracranial wound AND with moderate loss of consciousness
- Closed fracture of base of skull
- Closed fracture of base of skull with loss of consciousness
- Closed fracture of vault of skull
- Closed fracture of vault of skull with loss of consciousness
- Injury of intracranial vessel of head
- Intracranial injury with loss of consciousness
- Intracranial injury with prolonged coma
- Intracranial injury with prolonged coma with open wound
- Intracranial injury with prolonged coma without open wound
- Open fracture of vault of skull
- Open fracture of vault of skull with loss of consciousness
- Open fracture vault of skull with intracranial injury
- Open skull fracture with intracranial injury
- Traumatic brain injury with brief loss of consciousness
- Traumatic brain injury with loss of consciousness
- 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 injury of blood vessel of head
- Traumatic intraventricular hemorrhage
Diagnostic Related Groups
The ICD-10 code S06.9X9D 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.
Present on Admission (POA)
S06.9X9D 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 S06.9X9D to ICD-9
- V58.89 - Other specfied aftercare (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