S06.5X7A
S06.5X7A — Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before regaining consciousness, initial encounter
Billable / specific codeICD-10-CM
S06.5X7A is a billable, specific ICD-10-CM code for traumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before 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
S06.5X7A 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
S06.5X7A is named in 10 Medicare coverage policies — 10 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)
- A56747Billing and Coding: Magnetic Resonance Angiography (MRA)
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Questions about S06.5X7A
- Is S06.5X7A a billable ICD-10-CM code?
- Yes. S06.5X7A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S06.5X7A 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).