S06.3 — Focal traumatic brain injury
Is S06.3 billable?
No — S06.3 is a non-billable header code. S06.3 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 60 billable codes beneath S06.3.
Billable codes under this header
- S06.300AUnspecified focal traumatic brain injury without loss of consciousness, initial encounter
- S06.300DUnspecified focal traumatic brain injury without loss of consciousness, subsequent encounter
- S06.300SUnspecified focal traumatic brain injury without loss of consciousness, sequela
- S06.301AUnspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter
- S06.301DUnspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, subsequent encounter
- S06.301SUnspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, sequela
- S06.302AUnspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.302DUnspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter
- S06.302SUnspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela
- S06.303AUnspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.303DUnspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
- S06.303SUnspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
- S06.304AUnspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.304DUnspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, subsequent encounter
- S06.304SUnspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela
- S06.305AUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.305DUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
- S06.305SUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
- S06.306AUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.306DUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter
- S06.306SUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
- S06.307AUnspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
- S06.308AUnspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
- S06.30AAUnspecified focal traumatic brain injury with loss of consciousness status unknown, initial encounter
- S06.30ADUnspecified focal traumatic brain injury with loss of consciousness status unknown, subsequent encounter
- S06.30ASUnspecified focal traumatic brain injury with loss of consciousness status unknown, sequela
- S06.309AUnspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounter
- S06.309DUnspecified focal traumatic brain injury with loss of consciousness of unspecified duration, subsequent encounter
- S06.309SUnspecified focal traumatic brain injury with loss of consciousness of unspecified duration, sequela
- S06.310AContusion and laceration of right cerebrum without loss of consciousness, initial encounter
- S06.310DContusion and laceration of right cerebrum without loss of consciousness, subsequent encounter
- S06.310SContusion and laceration of right cerebrum without loss of consciousness, sequela
- S06.311AContusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter
- S06.311DContusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, subsequent encounter
- S06.311SContusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, sequela
- S06.312AContusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.312DContusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter
- S06.312SContusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela
- S06.313AContusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.313DContusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
- S06.313SContusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
- S06.314AContusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.314DContusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, subsequent encounter
- S06.314SContusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, sequela
- S06.315AContusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.315DContusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
- S06.315SContusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
- S06.316AContusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.316DContusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter
- S06.316SContusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
- S06.317AContusion and laceration of right cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
- S06.318AContusion and laceration of right cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
- S06.31AAContusion and laceration of right cerebrum with loss of consciousness status unknown, initial encounter
- S06.31ADContusion and laceration of right cerebrum with loss of consciousness status unknown, subsequent encounter
- S06.31ASContusion and laceration of right cerebrum with loss of consciousness status unknown, sequela
- S06.319AContusion and laceration of right cerebrum with loss of consciousness of unspecified duration, initial encounter
- S06.319DContusion and laceration of right cerebrum with loss of consciousness of unspecified duration, subsequent encounter
- S06.319SContusion and laceration of right cerebrum with loss of consciousness of unspecified duration, sequela
- S06.320AContusion and laceration of left cerebrum without loss of consciousness, initial encounter
- S06.320DContusion and laceration of left cerebrum without loss of consciousness, subsequent encounter
S06.3 at a glance
| Code | S06.3 |
|---|---|
| Description | Focal traumatic brain injury |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Use additional code
Report an additional code alongside S06.3 to fully describe the condition. S06.3 is sequenced first.
- code, if applicable, for traumatic brain compression or herniation (S06.A-)
Excludes2 — not included here
The conditions below are not part of S06.3, but a patient may have both at the same time. When documentation supports it, S06.3 and the excluded code may both be reported.
Excludes1 — never code together — inherited from S06
The conditions below can never be reported together with S06.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- head injury NOS (S09.90)
Use additional code — inherited from Chapter 19
Report an additional code alongside S06.3 to fully describe the condition. S06.3 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from S06
Report an additional code alongside S06.3 to fully describe the condition. S06.3 is sequenced first.
- code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S06.3, but a patient may have both at the same time. When documentation supports it, S06.3 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S06.3, but a patient may have both at the same time. When documentation supports it, S06.3 and the excluded code may both be reported.
- 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 also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S06.3 is sequenced first depends on the reason for the encounter.
- for any associated infection
Code also — inherited from S06
Two codes may be needed to describe the condition fully. Whether S06.3 is sequenced first depends on the reason for the encounter.
What codes fall under S06.3? (9)
- S06.30Unspecified focal traumatic brain injurynot billable
- S06.31Contusion and laceration of right cerebrumnot billable
- S06.32Contusion and laceration of left cerebrumnot billable
- S06.33Contusion and laceration of cerebrum, unspecifiednot billable
- S06.34Traumatic hemorrhage of right cerebrumnot billable
- S06.35Traumatic hemorrhage of left cerebrumnot billable
- S06.36Traumatic hemorrhage of cerebrum, unspecifiednot billable
- S06.37Contusion, laceration, and hemorrhage of cerebellumnot billable
- S06.38Contusion, laceration, and hemorrhage of brainstemnot billable
How long has S06.3 existed?
S06.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the S06 family? (9)
- S06.0Concussionnot billable
- S06.1Traumatic cerebral edemanot billable
- S06.2Diffuse traumatic brain injurynot billable
- S06.4Epidural hemorrhagenot billable
- S06.5Traumatic subdural hemorrhagenot billable
- S06.6Traumatic subarachnoid hemorrhagenot billable
- S06.8Other specified intracranial injuriesnot billable
- S06.9Unspecified intracranial injurynot billable
- S06.ATraumatic brain compression and herniationnot billable