S06.895D — Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
S06.895D is a billable, specific ICD-10-CM code for other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter. It is valid for submission on a claim.
7th 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
Risk adjustment
S06.895D 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
S06.895D 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.
- 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
Related codes at this level
Codes that share S06.895. If S06.895D is not quite right, the correct code is usually one of these.
- S06.895AOther specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.895SOther specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
Questions about S06.895D
- Is S06.895D a billable ICD-10-CM code?
- Yes. S06.895D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S06.895D 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).