Closed Head Injury ICD-10-CM Codes
A thorough guide to ICD-10-CM codes for diagnosing and documenting closed head injuries in 2023.
Fact Checked by Ericka Pingol.
What ICD-10 Codes are Used for Closed Head Injury?
Closed head injuries are brain injuries where the skull remains intact. They can range from minor concussions to more severe injuries that cause long-term complications or disabilities. Utilizing the ICD-10-CM for these injuries ensures accurate diagnosis, appropriate treatment, and correct billing.
Here are some commonly used ICD-10-CM codes for closed-head injuries:
- S06.0X0A: Concussion without loss of consciousness, initial encounter
Clinical Description: A diagnosis of concussion where the patient did not lose consciousness.
- S06.0X1A: Concussion with loss of consciousness of 30 minutes or less, initial encounter
Clinical Description: This code is used for concussions accompanied by a short period of unconsciousness.
- S06.1X0A: Traumatic cerebral edema without mention of open intracranial wound, initial encounter
Clinical Description: Refers to brain swelling due to trauma, with the skull remaining closed.
- S06.2X0A: Diffuse traumatic brain injury without mention of open intracranial wound, initial encounter
Clinical Description: A diagnosis of a diffuse injury across the brain without any open wounds.
- S06.9X0A: Unspecified intracranial injury without loss of consciousness, initial encounter
Clinical Description: A generalized code for any closed intracranial injury that doesn't fit into other specified categories.
Which Closed Head Injury ICD Codes are Billable:
- S06.0X0A: Yes
- S06.0X1A: Yes
- S06.1X0A: Yes
- S06.2X0A: Yes
- S06.9X0A: Yes
Clinical Information
- Closed head injuries primarily result from external force, such as falls, motor vehicle accidents, or sports injuries.
- Symptoms can range from headaches, dizziness, and nausea to more severe manifestations like seizures, behavioral changes, and memory loss.
- CT scans and MRIs are often used to assess the extent and type of injury.
- Treatment can range from observation and over-the-counter pain relief for mild injuries to surgeries and rehabilitation for severe injuries.
- Early intervention and proper management can influence the long-term outcomes for patients.
Synonyms Include
- Brain Injury (without skull fracture)
- Traumatic Brain Injury (Closed)
- Concussion
- Cerebral Contusion
- Closed Cranial Trauma
Commonly asked questions
ICD-10-CM codes are specific to closed-head injuries and should be employed in medical documentation when diagnosing, treating, or billing for these types of injuries. They enable a standardized representation of injury types and their severity.
Treatments can range from rest and over-the-counter pain medication for mild injuries to hospitalization, surgery, and long-term rehabilitation for more severe injuries.
A diagnosis code for a closed head injury provides a standardized way to represent the specific type and severity of brain injury a patient has suffered without an accompanying open wound or skull fracture. It's essential for both clinical management and administrative tasks.
