Unsp focal TBI w LOC of 1-5 hrs 59 min, init

Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

📋Clinical Description

This code signifies a traumatic brain injury (TBI) where the specific location or type of focal injury is not documented, and the patient experienced a loss of consciousness (LOC) lasting between 1 hour and 5 hours 59 minutes. It indicates the initial phase of treatment for such an injury.

🎯When to Use

Apply this code when documentation confirms a TBI with an unspecified focal component and a recorded LOC duration within the specified range. This is appropriate for the initial hospital admission or emergency department visit for the injury. Supporting documentation includes physician notes detailing the TBI, LOC duration, and the "unspecified focal" nature.

💡Coding Tips

Ensure the documentation clearly states "unspecified focal" and the LOC duration falls precisely within the 1 hour to 5 hours 59 minutes window.
Verify this is the initial encounter for the injury; subsequent care would use a different seventh character.
Distinguish from diffuse TBI or focal TBI with a specified location, which have their own distinct codes.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S06.303Unsp focal TBI w loss of consciousness of 1-5 hrs 59 min

S06.303A(current)

Crosswalks

854.03ApproxICD-9

Same Category

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