S06.9X4D — Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, subsequent encounter
Is S06.9X4D billable?
Yes, but S06.9X4D is an unspecified code. S06.9X4D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S06.9X4D 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 S06.9X4D — the more specific alternatives are listed below.
More specific alternatives
- S06.0X0DConcussion without loss of consciousness, subsequent encounter
- S06.1X0DTraumatic cerebral edema without loss of consciousness, subsequent encounter
- S06.2X0DDiffuse traumatic brain injury without loss of consciousness, subsequent encounter
- S06.300DUnspecified focal traumatic brain injury without loss of consciousness, subsequent encounter
- S06.4X0DEpidural hemorrhage without loss of consciousness, subsequent encounter
- S06.5X0DTraumatic subdural hemorrhage without loss of consciousness, subsequent encounter
- S06.6X0DTraumatic subarachnoid hemorrhage without loss of consciousness, subsequent encounter
- S06.A0XDTraumatic brain compression without herniation, subsequent encounter
S06.9X4D at a glance
| Code | S06.9X4D |
|---|---|
| Description | Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, 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 S06.9X4D?
In S06.9X4D, the 7th character D means subsequent encounter. The 7th character is required for S06.9X4D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S06.9X4D group to?
S06.9X4D 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 S06.9X4D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S06.9, the nearest indexed parent of S06.9X4D. Use them to find the family, then select the specific code.
- TBI (traumatic brain injury)
- Injury › brain
- Injury › intracranial
- Traumatic › brain injury
- Injury › head › with loss of consciousness
Excludes1 — never code together — inherited from S06
The conditions below can never be reported together with S06.9X4D 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)
Excludes1 — never code together — inherited from S06.9
The conditions below can never be reported together with S06.9X4D on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 19
Report an additional code alongside S06.9X4D to fully describe the condition. S06.9X4D is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from S06
Report an additional code alongside S06.9X4D to fully describe the condition. S06.9X4D 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 S06.9X4D, but a patient may have both at the same time. When documentation supports it, S06.9X4D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S06.9X4D, but a patient may have both at the same time. When documentation supports it, S06.9X4D 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 S06.9X4D 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 S06.9X4D is sequenced first depends on the reason for the encounter.
How long has S06.9X4D existed?
S06.9X4D 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.