Diffuse TBI w LOC of 30 minutes or less, subs

Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, subsequent encounter

📋Clinical Description

This code signifies a diffuse traumatic brain injury (TBI) where the patient experienced a loss of consciousness lasting 30 minutes or less. It indicates that the patient is receiving follow-up care for this specific TBI after the initial treatment phase.

🎯When to Use

Apply this code for subsequent encounters when a patient is being seen for ongoing management, evaluation, or treatment of a diffuse TBI with a documented loss of consciousness of 30 minutes or less. This includes visits for symptom monitoring, rehabilitation, or medication adjustments related to the initial injury. Documentation should clearly state the diffuse nature of the TBI, the duration of unconsciousness, and that it is a follow-up visit.

💡Coding Tips

Ensure documentation specifies "diffuse" TBI and not a focal injury.
Verify the duration of loss of consciousness is explicitly stated as 30 minutes or less.
This "D" seventh character indicates a subsequent encounter; do not use for initial treatment of the injury.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S06.2X1Diffuse TBI w loss of consciousness of 30 minutes or less

S06.2X1D(current)

Crosswalks

V58.89ApproxICD-9

Same Category

S06Intracranial injury S06.0Concussion S06.0XConcussion S06.0X0Concussion without loss of consciousness S06.0X0AConcussion without loss of consciousness, initial encounter