S06.3

S06.3: Focal traumatic brain injury

Non-billable headerICD-10-CM

S06.3 is a non-billable header ICD-10-CM code for focal traumatic brain 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

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

any condition classifiable to S06.4-S06.6
focal cerebral edema (S06.1)

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, for traumatic brain compression or herniation (S06.A-)

Excludes1 inherited from the categories above S06.3

A category’s note binds every code beneath it.

Written on S06: Intracranial injury

head injury NOS (S09.90)

Other codes that can never be billed with S06.3

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

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
P52Intracranial nontraumatic hemorrhage of newborn
S00Superficial injury of head
S09.0Injury of blood vessels of head, not elsewhere classified
S09.0XXAInjury of blood vessels of head, not elsewhere classified, initial encounter

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 S06.3

9 child codes. Green means billable.