S06.2X2S — Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela
S06.2X2S is a billable, specific ICD-10-CM code for diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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
Risk adjustment
S06.2X2S 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
S06.2X2S is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Related codes at this level
Codes that share S06.2X2. If S06.2X2S is not quite right, the correct code is usually one of these.
Questions about S06.2X2S
- Is S06.2X2S a billable ICD-10-CM code?
- Yes. S06.2X2S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S06.2X2S 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).