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S06.825A vs S06.825D

S06.825A (Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter) compared with S06.825D (Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter), from the official CMS tabular data. S06.825A and S06.825D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S06.825A
Initial encounter
Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06.825D
Subsequent encounter
Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S06.825A and S06.825D code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

S06.825AInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounterS06.825DInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter is a billable ICD-10-CM diagnosis code (S06.825A).Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter is a billable ICD-10-CM diagnosis code (S06.825D).
7th characterThe appropriate 7th character is to be added to each code from category S06, except as noted belowThe appropriate 7th character is to be added to each code from category S06, except as noted below
Includes
traumatic brain injury
injuries of ear
injuries of eye
injuries of face [any part]
traumatic brain injury
injuries of ear
injuries of eye
injuries of face [any part]
Use additional code
code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)
code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)

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