S06.389D — Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration, subsequent encounter
Is S06.389D billable?
Yes, but S06.389D is an unspecified code. S06.389D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S06.389D is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S06.389D — the more specific alternatives are listed below.
More specific alternatives
- S06.380DContusion, laceration, and hemorrhage of brainstem without loss of consciousness, subsequent encounter
- S06.381DContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, subsequent encounter
- S06.382DContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter
- S06.383DContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
- S06.384DContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, subsequent encounter
- S06.385DContusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
- S06.386DContusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter
- S06.38ADContusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, subsequent encounter
S06.389D at a glance
| Code | S06.389D |
|---|---|
| Description | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in S06.389D?
In S06.389D, the 7th character D means subsequent encounter. The 7th character is required for S06.389D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S06.389D group to?
S06.389D sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is S06.389D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S06.38, the nearest indexed parent of S06.389D. Use them to find the family, then select the specific code.
- Contusion › brainstem (skin surface intact)
- Injury › brainstem
- Laceration › brainstem
- Hemorrhage, hemorrhagic › brainstem › traumatic (concealed)
Excludes1 — never code together — inherited from S06
The conditions below can never be reported together with S06.389D 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 S06.389D to fully describe the condition. S06.389D is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from S06
Report an additional code alongside S06.389D to fully describe the condition. S06.389D is sequenced first.
- code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)
Use additional code — inherited from S06.3
Report an additional code alongside S06.389D to fully describe the condition. S06.389D is sequenced first.
- code, if applicable, for traumatic brain compression or herniation (S06.A-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S06.389D, but a patient may have both at the same time. When documentation supports it, S06.389D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S06.389D, but a patient may have both at the same time. When documentation supports it, S06.389D 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)
Excludes2 — not included here — inherited from S06.3
The conditions below are not part of S06.389D, but a patient may have both at the same time. When documentation supports it, S06.389D and the excluded code may both be reported.
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S06.389D 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 S06.389D is sequenced first depends on the reason for the encounter.
How long has S06.389D existed?
S06.389D 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.