S06

S06: Intracranial injury

Non-billable headerICD-10-CM

S06 is a non-billable header ICD-10-CM code for intracranial injury. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S06, except as noted below

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

head injury NOS (S09.90)

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

any associated:
open wound of head (S01.-)
skull fracture (S02.-)

Includes

Conditions this code covers.

traumatic brain injury

Notes

Additional guidance from the ICD-10-CM tabular list.

7th characters D and S do not apply to codes in category S06 with 6th character 7 - death due to brain injury prior to regaining consciousness, or 8 - death due to other cause prior to regaining consciousness.

Other codes that can never be billed with S06

Their own Excludes1 notes name this code, so the conflict is not listed above.

F07.81Postconcussional syndrome
G31.84Mild cognitive impairment of uncertain or unknown etiology
G93.5Compression of brain
G93.6Cerebral edema
I69Sequelae of cerebrovascular disease
I69.8Sequelae of other cerebrovascular diseases
I69.9Sequelae of unspecified cerebrovascular diseases
P52Intracranial nontraumatic hemorrhage of newborn

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S06

10 child codes. Green means billable.