S06.5X4D
S06.5X4D: Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
S06.5X4D is a billable, specific ICD-10-CM code for traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, subsequent encounter. It is valid for submission on a claim.
Check S06.5X4D with the rest of the claim: free scrubber7th character "D": subsequent 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
Other codes that can never be billed with S06.5X4D
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
S06.5X4D is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53065Billing and Coding: Outpatient Physical Therapy
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56612Billing and Coding: CT of the Head
- A56631Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
Code history
Unchanged in every release from FY2024 to FY2027.