S06.378A — Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06.378A is a billable, specific ICD-10-CM code for contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to other cause 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
Risk adjustment
S06.378A 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
S06.378A 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)
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
- A56937Billing and Coding: Psychiatry and Psychology Services
Questions about S06.378A
- Is S06.378A a billable ICD-10-CM code?
- Yes. S06.378A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S06.378A 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).