S06.8A5D: Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
S06.8A5D is a billable, specific ICD-10-CM code for primary blast injury of brain, not elsewhere classified 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.
Check S06.8A5D 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
Excludes1 inherited from the categories above S06.8A5D
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S06.8A5D
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S06.8A5D
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
S06.8A5D is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S06.8A5
- S06.8A5APrimary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.8A5SPrimary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela