S06.30ANon-billableSave

S06.30A - Unspecified focal traumatic brain injury with loss of consciousness status unknown

ICD-10-CM Chapter 19: Injury, poisoning and certain other consequences of external causes · S00-S09 Injuries to the head (S00-S09) · Subcategory of S06.30 · FY2027

Coding Guidance

S06.30A requires a 7th character. Report the code below that matches the documentation, for example A for initial encounter, D for subsequent encounter, S for sequela.

Applicable To

Inclusion terms listed under S06.30A in the ICD-10-CM tabular list.

  • Unspecified focal traumatic brain injury NOS
7th Character

The appropriate 7th character is to be added to each code from category S06, except as noted below

Includes, Excludes and Coding Notes

Excludes 2 — Not Included HereFrom S06.3

Not part of this code; report both codes when the patient has both conditions.

  • any condition classifiable to S06.4-S06.6
  • focal cerebral edema (S06.1)
Use Additional CodeFrom S06.3

Add a secondary code to identify the associated condition or cause when it is documented.

  • code, if applicable, for traumatic brain compression or herniation (S06.A-)
IncludesFrom S06

Conditions this code covers.

  • traumatic brain injury
Excludes 1 — Not Coded HereFrom S06

Mutually exclusive: these conditions are never reported together with this code.

  • head injury NOS (S09.90)
Use Additional CodeFrom S06

Add a secondary code to identify the associated condition or cause when it is documented.

  • code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)
Code AlsoFrom S06

Report an additional code when both conditions apply.

  • any associated:
  • open wound of head (S01.-)
  • skull fracture (S02.-)
NotesFrom S06

Instructional notes from the ICD-10-CM tabular list.

  • 7th characters D and S do not apply to codes in category S06 with 6th character 7 - death due to brain injury prior to regaining consciousness, or 8 - death due to other cause prior to regaining consciousness.
IncludesFrom S00-S09 Injuries to the head (S00-S09)

Conditions this code covers.

  • injuries of ear
  • injuries of eye
  • injuries of face [any part]
  • injuries of gum
  • injuries of jaw
  • injuries of oral cavity
  • injuries of palate
  • injuries of periocular area
  • injuries of scalp
  • injuries of temporomandibular joint area
  • injuries of tongue
  • injuries of tooth
Excludes 2 — Not Included HereFrom S00-S09 Injuries to the head (S00-S09)

Not part of this code; report both codes when the patient has both conditions.

  • burns and corrosions (T20-T32)
  • effects of foreign body in ear (T16)
  • effects of foreign body in larynx (T17.3)
  • effects of foreign body in mouth NOS (T18.0)
  • effects of foreign body in nose (T17.0-T17.1)
  • effects of foreign body in pharynx (T17.2)
  • effects of foreign body on external eye (T15.-)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
Code AlsoFrom S00-S09 Injuries to the head (S00-S09)

Report an additional code when both conditions apply.

  • for any associated infection
Excludes 2 — Not Included HereFrom Chapter S00-T88

Not part of this code; report both codes when the patient has both conditions.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)
Use Additional CodeFrom Chapter S00-T88

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify any retained foreign body, if applicable (Z18.-)
NotesFrom Chapter S00-T88

Instructional notes from the ICD-10-CM tabular list.

  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

Documentation requirements, coding pitfalls and FAQs for conditions coded with S06.30A.