2026 ICD-10-CM Diagnosis Code S06.89ADOther specified intracranial injury with loss of consciousness status unknown, subsequent encounter
S06.89AD is a billable ICD-10-CM diagnosis code for other specified intracranial injury with loss of consciousness status unknown, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Traumatic brain injury (TBI); concussion, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S06.89AD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Basal ganglia hemorrhage
- Burst lobe of brain
- Carotid cavernous fistula
- Crush injury of brain
- Crush injury of neurological structure
- Hematoma of brain
- Injury of internal carotid artery
- Lobar cerebral hemorrhage
- Open fracture of vault of skull
- Open fracture of vault of skull with intracranial hemorrhage
- Open skull fracture with intracranial hemorrhage
- Traumatic carotid cavernous fistula
- Traumatic hemorrhage of basal ganglia
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Intracranial injury (S06). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Basal Ganglia Hemorrhage
bleeding within the subcortical regions of cerebral hemispheres (basal ganglia). it is often associated with hypertension or arteriovenous malformations. clinical manifestations may include headache; dyskinesias; and hemiparesis.
Code History & ChangesHistory
Replacement S06.89AD replaces the following previously assigned code(s):
- S06.0X9D - Concussion w loss of consciousness of unsp duration, subs
Questions About S06.89ADOverview
Is S06.89AD a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified intracranial injury with loss of consciousness status unknown, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S06.89AD mean?
The final character D marks a subsequent encounter: use it for routine care while the other specified intracranial injury with loss of consciousness status unknown is healing, after active treatment has ended.
What MS-DRG does S06.89AD group to?
When other specified intracranial injury with loss of consciousness status unknown, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S06.89AD exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for other specified intracranial injury with loss of consciousness status unknown, subsequent encounter on inpatient claims.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
