Is S06.1X7A a billable ICD-10-CM code?

Yes. S06.1X7A is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S06.1X7A 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).

What cannot be coded together with S06.1X7A?

S06.1X7A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S06.1X7A (S06) and apply to it just the same.

S06.1X7A

S06.1X7A — Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter

Billable / specific codeICD-10-CM

S06.1X7A is a billable, specific ICD-10-CM code for traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter. It is valid for submission on a claim.

7th character "A" — initial encounter

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 inherited from the categories above S06.1X7A

These are not written on S06.1X7A, but they bind it: a note on a category applies to every code beneath it. Billing S06.1X7A with anything listed here is a denial.

Written on S06 — Intracranial injury

head injury NOS (S09.90)

Other codes that can never be billed with S06.1X7A

These codes carry an Excludes1 note pointing at S06.1X7A. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S06.1X7A alone.

G31.84Mild cognitive impairment of uncertain or unknown etiology
I69Sequelae of cerebrovascular disease
I69.8Sequelae of other cerebrovascular diseases
I69.9Sequelae of unspecified cerebrovascular diseases
S09.0Injury of blood vessels of head, not elsewhere classified
S09.0XXAInjury of blood vessels of head, not elsewhere classified, initial encounter
S09.0XXDInjury of blood vessels of head, not elsewhere classified, subsequent encounter
S09.0XXSInjury of blood vessels of head, not elsewhere classified, sequela

Risk adjustment

S06.1X7A 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.

Medicare coverage

S06.1X7A is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56937Billing and Coding: Psychiatry and Psychology Services
A56937Billing and Coding: Psychiatry and Psychology Services
A57040Billing and Coding: Speech-Language Pathology

Code history

S06.1X7A has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Questions about S06.1X7A

Is S06.1X7A a billable ICD-10-CM code?: Yes. S06.1X7A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S06.1X7A 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).
What cannot be coded together with S06.1X7A?: S06.1X7A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S06.1X7A (S06) and apply to it just the same.