S06.3 — Focal traumatic brain injury
S06.3 is a non-billable header ICD-10-CM code for focal traumatic brain injury. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Use additional code
Add a secondary code to capture the detail described below.
- code, if applicable, for traumatic brain compression or herniation (S06.A-)
Other codes that can never be billed with S06.3
These codes carry an Excludes1 note pointing at S06.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S06.3 alone.
- S00Superficial injury of head
Risk adjustment
S06.3 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.
Code to one of these instead S06.3
9 child codes. Green means billable.
- S06.30Unspecified focal traumatic brain injury
- S06.31Contusion and laceration of right cerebrum
- S06.32Contusion and laceration of left cerebrum
- S06.33Contusion and laceration of cerebrum, unspecified
- S06.34Traumatic hemorrhage of right cerebrum
- S06.35Traumatic hemorrhage of left cerebrum
- S06.36Traumatic hemorrhage of cerebrum, unspecified
- S06.37Contusion, laceration, and hemorrhage of cerebellum
- S06.38Contusion, laceration, and hemorrhage of brainstem
Related codes at this level
Codes that share S06. If S06.3 is not quite right, the correct code is usually one of these.
- S06.0Concussion
- S06.1Traumatic cerebral edema
- S06.2Diffuse traumatic brain injury
- S06.4Epidural hemorrhage
- S06.5Traumatic subdural hemorrhage
- S06.6Traumatic subarachnoid hemorrhage
- S06.8Other specified intracranial injuries
- S06.9Unspecified intracranial injury
- S06.ATraumatic brain compression and herniation
Questions about S06.3
- Is S06.3 a billable ICD-10-CM code?
- No. S06.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S06.3 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).