ICD-10-CM Code S06.0X5
Concussion with loss of consciousness greater than 24 hours with return to pre-existing conscious level
Non-Billable CodeNon-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
7th Character RequiredCode requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."
ICD Code S06.0X5 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'concussion w loss of consciousness >24 hr w ret consc lev' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
|7th Digit||Billable Code||7th Digit Specifies|
What is 7th Character Extension?For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info
The ICD code S060 is used to code Concussion
Concussion, from the Latin concutere ("to shake violently") or concussus ("action of striking together"), is the most common type of traumatic brain injury. The terms mild brain injury, mild traumatic brain injury (MTBI), mild head injury (MHI), minor head trauma, and concussion may be used interchangeably, although the last is often treated as a narrower category. Although the term "concussion" is still used in sports literature as interchangeable with "MHI" or "MTBI", the general clinical medical literature now uses "MTBI" instead. In this article, "concussion" and "MTBI" are used interchangeably. Frequently defined as a head injury with a temporary loss of brain function, concussion causes a variety of physical, cognitive, and emotional symptoms, which may not be recognized if subtle.
|ICD 9 Code:||850|
Acceleration (g-forces) can exert rotational forces in the brain, especially the midbrain and diencephalon.
Coding Advice SNOMET-CT
- Episode of care information needed
- Consider additional code to identify specific condition or disease
- Possible requirement for an external cause code