What is the ICD-10 code for a concussion without loss of consciousness?

The ICD-10 code for a concussion without loss of consciousness is S06.0X0A. It is used when a patient presents with a concussion and there is no documented loss of consciousness.

How do you code a traumatic brain injury with a 45-minute loss of consciousness?

For a traumatic brain injury with a 45-minute loss of consciousness, use ICD-10 code S06.2X1A, which covers diffuse TBI with LOC between 31 and 59 minutes.

ICD-10 Coding for Brain Trauma(S06.0X0A, S06.0X, F07.81)

Save

Explore detailed ICD-10 coding guidelines for brain trauma, including concussions and diffuse injuries. Learn about documentation requirements and common coding pitfalls.

Also known as:

Traumatic Brain InjuryHead InjuryConcussion

Related ICD-10 Code Ranges

Complete code families applicable to Brain Trauma

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

→

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
S06.0X0A	Concussion without loss of consciousness, initial encounter	Use when a patient presents with a concussion and there is no documented loss of consciousness.	Documented head trauma with symptoms such as headache dizziness or confusion No loss of consciousness reported
S06.2X1A	Diffuse traumatic brain injury with loss of consciousness of 31-59 minutes, initial encounter	Use when LOC is documented between 31 and 59 minutes with imaging evidence of diffuse injury.	Documented LOC between 31 and 59 minutes Imaging findings consistent with diffuse injury

Primary ICD-10-CM Codes

Concussion without loss of consciousness, initial encounter

S06.0X0ABillable

Concussion

S06.0X

Differential Codes

Alternative codes to consider when ruling out similar conditions

Concussion with loss of consciousness of 30 minutes or less, initial encounterS06.0X

Use if there is documented loss of consciousness for 30 minutes or less.

Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounterS06.2X

Use if LOC duration is not specified.

Documentation & Coding Risks

Avoid these common issues when documenting Brain Trauma.

Failing to document the mechanism of injury

Impact

Clinical: May lead to misinterpretation of the injury severity., Regulatory: Increases risk of audit due to incomplete documentation., Financial: Potential loss of reimbursement for related injuries.

Mitigation

Always include a detailed description of how the injury occurred., Use templates to ensure all necessary information is captured.

Using non-specific codes for head injuries

Impact

Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit due to non-specific coding., Data Quality: Impacts data accuracy for clinical and research purposes.

Mitigation

Always specify the type and severity of the injury, including LOC duration and imaging findings.

Inaccurate LOC documentation

Impact

Failure to accurately document LOC can lead to incorrect coding and potential audits.

Mitigation

Implement routine checks for LOC documentation accuracy in patient records.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with S06.0X0A.

Primary Code

S06.0X0A

Concussion without loss of consciousness, initial encounter

Quick Navigation

ICD-10 codes9

Coding risks3

FAQs2

ICD-10 Coding for Brain Trauma(S06.0X0A, S06.0X, F07.81)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for a concussion without loss of consciousness?

How do you code a traumatic brain injury with a 45-minute loss of consciousness?

Related condition guides