S06.302S: Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela
S06.302S is a billable, specific ICD-10-CM code for unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela. It is valid for submission on a claim.
Check S06.302S with the rest of the claim: free scrubber7th 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
Excludes1 inherited from the categories above S06.302S
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S06.302S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S06.302S
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
- 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
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S06.302S is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Code history
Unchanged in every release from FY2024 to FY2027.