S06.30
S06.30 — Unspecified focal traumatic brain injury
Non-billable headerICD-10-CM
S06.30 is a non-billable header ICD-10-CM code for unspecified 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
Risk adjustment
S06.30 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 S06.30
11 child codes. Green means billable.
- S06.300Unspecified focal traumatic brain injury without loss of consciousness
- S06.301Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less
- S06.302Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes
- S06.303Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes
- S06.304Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours
- S06.305Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level
- S06.306Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving
- S06.307Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness
- S06.308Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness
- S06.30AUnspecified focal traumatic brain injury with loss of consciousness status unknown
- S06.309Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration
Related codes at this level
Codes that share S06.3. If S06.30 is not quite right, the correct code is usually one of these.
- S06.31Contusion and laceration of right cerebrum
- S06.32Contusion and laceration of left cerebrum
- S06.33Contusion and laceration of cerebrum, unspecified
- S06.34Traumatic hemorrhage of right cerebrum
- S06.35Traumatic hemorrhage of left cerebrum
- S06.36Traumatic hemorrhage of cerebrum, unspecified
- S06.37Contusion, laceration, and hemorrhage of cerebellum
- S06.38Contusion, laceration, and hemorrhage of brainstem
Questions about S06.30
- Is S06.30 a billable ICD-10-CM code?
- No. S06.30 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S06.30 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).