TBI ICD-10-CM Codes

Discover the essential ICD-10 Codes Used for TBI or Traumatic Brain Injury classification. Learn how these specific codes aid medical billing and more.

By RJ Gumban on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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TBI ICD-10-CM Codes

What ICD-10 Codes are Used for TBI 

S06.0

This TBI ICD 10 code is for S06.0, which refers to a concussion—a mild traumatic brain injury (TBI) that does not involve any structural damage to the brain. Concussion symptoms may encompass headache, dizziness, nausea, vomiting, blurred vision, fatigue, and difficulty concentrating.

S06.1

Moving on to S06.1, it represents cerebral contusion—a brain bruise resulting from the brain hitting the inside of the skull. Symptoms of cerebral contusion may include headache, dizziness, nausea, vomiting, blurred vision, seizures, and loss of consciousness.

S06.2

Next, ICD 10 TBI S06.2 corresponds to cerebral laceration, characterized by a tear in the brain tissue due to the brain hitting the inside of the skull. Symptoms of cerebral laceration can involve headache, dizziness, nausea, vomiting, seizures, loss of consciousness, and potential brain damage.

S06.3

Continuing with S06.3, this ICD 10 code for TBI pertains to intracranial hemorrhage—a condition involving bleeding inside the skull. Symptoms of intracranial hemorrhage may manifest as headache, dizziness, nausea, vomiting, seizures, loss of consciousness, and brain damage.

S06.4

One of the common TBI ICD Codes  is the S06.4 which denotes an unspecified intracranial injury—an injury that does not fit into any of the other categories. The symptoms of an unspecified intracranial injury can vary depending on the specific nature of the injury.

Z87.820

Lastly, Z87.820 is an ICD 10 code for history of TBI.  This means a patient has a history of TBI, even if the injury is no longer present. This code is important for tracking the prevalence of TBI and for monitoring the long-term effects of TBI. It can also be used to help patients access services and support that they may need.

Which TBI ICD codes are Billable: 

Yes, these codes are billable. They are all part of the ICD-10-CM coding system, which healthcare providers use to bill for services. The specific code that is used will depend on the specific injury and the patient's symptoms.

Clinical Information

  • Traumatic brain injury (TBI) is a sudden injury to the brain that can cause damage to brain cells. TBI can be caused by a blow, bump, or jolt to the head, or by a penetrating injury that damages the skull and brain.
  • Traumatic brain injury (TBI) has varying degrees of severity: mild (concussion) with no structural brain damage, and moderate to severe cases involving structural damage and more severe symptoms like seizures, coma, and brain death. 
  • Common symptoms of TBI include headaches, dizziness, nausea, vomiting, blurred vision, fatigue, difficulty concentrating, memory problems, confusion, seizures, and loss of consciousness.
  • TBI is diagnosed based on the patient's history, symptoms, and physical examination. Imaging tests, such as a CT scan or MRI, may be used to rule out other causes of the patient's symptoms and to assess the extent of the brain injury.
  • The treatment for TBI depends on the severity of the injury. Mild TBIs may not require any treatment other than rest and observation. Moderate and severe TBIs may require hospitalization and treatment with medications, surgery, or rehabilitation.
  • The prognosis for TBI depends on the severity of the injury. Mild TBIs usually have a good prognosis, with most patients fully recovering. Moderate and severe TBIs may have a more guarded prognosis, with some patients experiencing long-term cognitive, behavioral, and physical problems.

Synonyms

  • Concussion
  • Head injury
  • Closed head injury
  • Penetrating head injury
  • Traumatic brain damage
  • Acquired brain injury
  • Abuse-related head injury
  • Sports-related head injury
  • Motor vehicle crash-related head injury
Medical Billing and Coding

Commonly asked questions

When to use an TBI ICD code?

An ICD code for TBI is utilized to categorize the severity and type of traumatic brain injury (TBI) for medical billing and reimbursement purposes. These codes are essential for billing medical services related to TBI, tracking TBI prevalence, and assessing treatment effectiveness.

What are the common treatments for TBI Diagnosis Codes?

Treatment for TBI depends on its severity. Mild TBIs may require rest and observation, while moderate and severe cases may necessitate hospitalization and treatments like medications, surgery, or rehabilitation.

What does a diagnosis code for TBI mean?

A TBI diagnosis code is used for medical billing and reimbursement. The digits can indicate the type of injury, and represent the severity. These codes help healthcare providers and insurers determine the appropriate treatment and cost of care.

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