Fact Sheet: Coding Guidance for TBI Page 5 of 5 Screening for. TBI ICD-10 codes (Z13.850) Diagnoses of TBI Initial or Subsequent and/or Sequela2. Visit. Initial TBI Diagnosis. 1. Primary Code: Brain Injury, S02.0xx, S02.x, S06.0-S06.3, or S09.x Category Other ICD-10 codes for symptoms (e.g., memory deficit R41.3)
SUBSEQUENT and/or Sequela TBI VISITS Additional Procedure Coding for TBI Care If the psychomotor Neurobehavioral Status Exam is completed, the provider should also utilize the CPT code 96116. This code includes the time for testing, interpreting, and a written report must be prepared. Coding is completed in 1-hr units but anything
ICD-10-CM Coding Guidance for Traumatic Brain Injury 2 * Note: Concussion can only be coded zero (0), one (1) or nine i.e. S06.0X0A, S06.0X1XD S06.0X9XS
The practitioner selects the codes TBI Not Otherwise Specified (NOS) with loss of consciousness of 30 minutes or less, initial encounter (S06.9X1A) and the codes the for memory loss NOS Fact Sheet: Coding Guidance for TBI Page 2of 5
Diffuse traumatic brain injury with loss of consciousness of unspecified duration, subsequent encounter. S06. 2X9D is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S06.
Yes. A concussion is often referred to by doctors as a “mild TBI.” Both terms are used when a person experiences a change in normal brain function for no longer than a minutes following trauma.
Therefore, assign code S06. 9x0A for documentation of traumatic brain injury (initial encounter) without further specification. However, a more specific code from category S06 should be assigned to identify the documented injuries such as concussion, cerebral edema, contusion, laceration, and hemorrhage.
S06.0X0AICD-10 Code for Concussion without loss of consciousness, initial encounter- S06. 0X0A- Codify by AAPC.
Mild traumatic brain injury (mTBI), or concussion, is the most common type of traumatic brain injury. With mTBI comes symptoms that include headaches, fatigue, depression, anxiety and irritability, as well as impaired cognitive function.
A concussion is a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth.
Z87. 820 - Personal history of traumatic brain injury. ICD-10-CM.
959.01WISH Injury-Related Traumatic Brain Injury ICD-9-CM CodesICD-9-CM CodeDescription850.0-850.9Concussion851.00-854.19Intracranial injury, including contusion, laceration, and hemorrhage950.1-950.3Injury to the optic chiasm, optic pathways, or visual cortex959.01Head injury, unspecified3 more rows•Jul 5, 2020