S06.8A0A — Primary blast injury of brain, not elsewhere classified without loss of consciousness, initial encounter
S06.8A0A is a billable, specific ICD-10-CM code for primary blast injury of brain, not elsewhere classified without loss of 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
S06.8A0A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 399 Major Head Injury without Loss of Consciousness0.199 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
S06.8A0A 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.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Related codes at this level
Codes that share S06.8A0. If S06.8A0A is not quite right, the correct code is usually one of these.
Questions about S06.8A0A
- Is S06.8A0A a billable ICD-10-CM code?
- Yes. S06.8A0A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S06.8A0A 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).