2025 ICD-10-CM code S06.A
(Active) Effective Date: N/A Revision Date: N/A Injury - Injuries to the head (S00-S09) Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Traumatic brain compression and herniation.
Medical necessity for this code is established by the presence of traumatic brain compression and herniation documented by appropriate diagnostic imaging and clinical findings.This condition requires immediate medical attention and often necessitates surgical intervention to relieve the pressure on the brain.
Clinicians diagnosing and treating traumatic brain injuries, including neurosurgeons, neurologists, emergency medicine physicians, and trauma specialists, are responsible for accurately documenting and coding these conditions.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- S06 - Intracranial injury
In simple words: This code represents compression within the brain due to trauma, often leading to a part of the brain being squeezed against the skull.
Traumatic brain compression and herniation. Code first the underlying traumatic brain injury, such as: diffuse traumatic brain injury (S06.2-), focal brain injury (S06.3-), traumatic subdural hemorrhage (S06.5-), traumatic subarachnoid hemorrhage (S06.6-).
Example 1: A patient falls from a height and suffers a traumatic brain injury with compression and herniation confirmed by imaging studies., A patient involved in a motor vehicle accident experiences brain compression and herniation as a result of the impact., A patient sustains a blow to the head during an assault, resulting in traumatic brain compression and herniation.
Documentation should include details of the injury mechanism, imaging findings (CT, MRI) confirming compression and herniation, neurological examination findings, and any surgical interventions performed.
** Use secondary codes from Chapter 20 (External causes of morbidity) to indicate the cause of the injury.Use additional code Z18.- to identify any retained foreign body, if applicable. Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71).
- Specialties:Neurosurgery, Neurology, Emergency Medicine, Trauma Surgery
- Place of Service:Inpatient Hospital, Emergency Room - Hospital