Is S06.1 a billable ICD-10-CM code?

No. S06.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S06.1 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).

S06.1

S06.1 — Traumatic cerebral edema

Non-billable headerICD-10-CM

S06.1 is a non-billable header ICD-10-CM code for traumatic cerebral edema. 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

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Diffuse traumatic cerebral edema
Focal traumatic cerebral edema

Other codes that can never be billed with S06.1

These codes carry an Excludes1 note pointing at S06.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S06.1 alone.

S06.0Concussion
S06.2Diffuse traumatic brain injury
G93.6Cerebral edema

Risk adjustment

S06.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead S06.1

1 child code. Green means billable.

S06.1XTraumatic cerebral edema

Related codes at this level

Codes that share S06. If S06.1 is not quite right, the correct code is usually one of these.

Questions about S06.1

Is S06.1 a billable ICD-10-CM code?: No. S06.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S06.1 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).