Unsp focal TBI w LOC of 30 minutes or less, subs

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

📋Clinical Description

This code signifies a follow-up encounter for a patient who previously sustained an unspecified focal traumatic brain injury (TBI) that resulted in a brief loss of consciousness, specifically 30 minutes or less. "Focal" indicates the injury is localized to a specific area of the brain, rather than diffuse.

🎯When to Use

Use this code for subsequent visits related to the initial focal TBI, such as follow-up appointments for symptom management, rehabilitation, or monitoring recovery. Documentation should clearly state a previous diagnosis of focal TBI with LOC $\le$ 30 minutes and indicate the current encounter is for follow-up care.

💡Coding Tips

Requires a 7th character "D" for subsequent encounter; do not use "A" for initial or "S" for sequela.
Ensure documentation specifies "focal" injury and the duration of loss of consciousness.
Distinguish from diffuse TBI codes (S06.8-) and TBI without loss of consciousness (S06.0-).

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S06.301Unsp focal TBI w loss of consciousness of 30 minutes or less

S06.301D(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