S06.1X
S06.1X — Traumatic cerebral edema
Non-billable headerICD-10-CM
S06.1X 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
Other codes that can never be billed with S06.1X
These codes carry an Excludes1 note pointing at S06.1X. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S06.1X alone.
- S06.2Diffuse traumatic brain injury
Risk adjustment
S06.1X 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 S06.1X
11 child codes. Green means billable.
- S06.1X0Traumatic cerebral edema without loss of consciousness
- S06.1X1Traumatic cerebral edema with loss of consciousness of 30 minutes or less
- S06.1X2Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes
- S06.1X3Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes
- S06.1X4Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours
- S06.1X5Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level
- S06.1X6Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving
- S06.1X7Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness
- S06.1X8Traumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness
- S06.1XATraumatic cerebral edema with loss of consciousness status unknown
- S06.1X9Traumatic cerebral edema with loss of consciousness of unspecified duration
Questions about S06.1X
- Is S06.1X a billable ICD-10-CM code?
- No. S06.1X is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S06.1X 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).