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Compare/F07.81 vs S06.0X

F07.81 vs S06.0X

F07.81 (Postconcussional syndrome) compared with S06.0X (Concussion), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. F07.81 carries an Excludes1 note covering S06.0X: “current concussion (brain) (S06.0X- with seventh character A)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

F07.81Postconcussional syndromeS06.0XConcussion
Billing statusBillableNon-billable header

Report instead: S06.0X0A, S06.0X0D, S06.0X0S, S06.0X1A, S06.0X1D

ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPostconcussional syndrome is a billable ICD-10-CM diagnosis code (F07.81).Concussion is a non-billable ICD-10-CM category code (S06.0X).
7th characterThe appropriate 7th character is to be added to each code from category S06, except as noted below
Includes
Postcontusional syndrome (encephalopathy)
Post-traumatic brain syndrome, nonpsychotic
traumatic brain injury
injuries of ear
injuries of eye
injuries of face [any part]
Use additional code
code to identify associated post-traumatic headache, if applicable (G44.3-)
code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)
Code first
the underlying physiological condition

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources