S06.811A — Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter
S06.811A is a billable, specific ICD-10-CM code for injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Injury of right internal carotid artery, intracranial portion, not elsewhere classified with brief loss of consciousness
Risk adjustment
S06.811A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 398 Major Head Injury with Loss of Consciousness < 1 Hour or Unspecified0.199 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S06.811A is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- 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
Related codes at this level
Codes that share S06.811. If S06.811A is not quite right, the correct code is usually one of these.
- S06.811DInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, subsequent encounter
- S06.811SInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, sequela
Questions about S06.811A
- Is S06.811A a billable ICD-10-CM code?
- Yes. S06.811A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S06.811A 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).