Diffuse TBI w loss of consciousness of unsp duration, init

Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter

📋Clinical Description

This code signifies a widespread brain injury resulting from trauma, characterized by a period of unconsciousness where the exact duration is not documented. It indicates a generalized impact to the brain tissue rather than a localized lesion.

🎯When to Use

Apply this code for patients presenting with a diffuse traumatic brain injury and a documented loss of consciousness, but the medical record does not specify the length of the unconscious period. Documentation should clearly state "diffuse TBI" and "loss of consciousness" without a specified duration.

💡Coding Tips

Ensure documentation explicitly states "diffuse" TBI; do not assume based on symptoms alone.
Only use this code when the duration of loss of consciousness is truly unspecified; if a duration is noted, select a more specific code.
This "A" seventh character indicates an initial encounter for active treatment of the injury.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S06.2X9Diffuse TBI w loss of consciousness of unsp duration

S06.2X9A(current)

Crosswalks

854.06ApproxICD-9

Same Category

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