Head Injury ICD-10-CM Codes
Navigate the ICD-10-CM codes essential for diagnosing and documenting various types of head injuries in 2023.
Fact Checked by Ericka Pingol.
What ICD-10 Codes are Used for Head Injury?
Head injuries can range from mild bumps or contusions to severe traumatic brain injuries. The ICD-10-CM system provides a comprehensive framework for coding these injuries, essential for precise diagnosis, treatment planning, and medical billing. This guide aims to outline the ICD-10-CM codes that are most commonly used for diagnosing head injuries.
Here are some commonly used ICD-10-CM codes for head injuries:
S00.0: Contusion of scalp
This code is used for superficial injuries to the scalp that result in bruising but not an open wound.
S06.0x0A: Concussion without loss of consciousness, initial encounter
This code is used for cases of concussion where the patient did not lose consciousness, recorded during the initial medical encounter.
S02.1XXA: Fracture of base of skull, initial encounter
This code is used for fractures at the base of the skull, recorded during the initial medical encounter.
S02.9XXA: Fracture of skull, unspecified, initial encounter
This code is used for general skull fractures not specified in detail, recorded during the initial encounter.
S06.9x0A: Traumatic brain injury, unspecified, initial encounter
This code is used for general cases of traumatic brain injury that are not further specified, recorded during the initial medical encounter.
Which Head Injury ICD Codes are Billable:
- S00.0: Yes
- S06.0x0A: Yes
- S02.1XXA: Yes
- S02.9XXA: Yes
- S06.9x0A: Yes
Clinical Information
- Head injuries can range in severity from mild to life-threatening.
- Symptoms may include headaches, nausea, dizziness, or loss of consciousness in severe cases.
- Diagnostic methods often include physical examination, imaging tests like CT scans or MRIs, and neurological tests.
- Treatment may vary from simple pain management and observation to surgical intervention for severe injuries.
- Accurate coding is crucial for appropriate treatment planning and successful insurance claims.
Synonyms Include
- Cranial Injury
- Brain Trauma
- Scalp Wound
- Skull Fracture
- Cerebral Injury
Commonly asked questions
Use ICD-10-CM codes for head injuries in medical documentation for accurate diagnosis, treatment planning, and billing purposes.
Treatment for head injuries may range from rest and over-the-counter pain medications for mild injuries, to surgical interventions like craniotomy for severe or life-threatening cases.
A diagnosis code for a head injury identifies the specific type of head injury being addressed, whether a simple contusion or a more severe traumatic brain injury. These codes are essential for healthcare providers to ensure standardized diagnosis and treatment, and they are crucial for billing and statistical purposes.
