S06.8A3A vs S06.8A3D

S06.8A3A (Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter) compared with S06.8A3D (Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter), from the official CMS tabular data. S06.8A3A and S06.8A3D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S06.8A3A

Initial encounter

Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

↔

S06.8A3D

Subsequent encounter

Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, 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. S06.8A3A and S06.8A3D 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

	S06.8A3APrimary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter	S06.8A3DPrimary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
Billing status	Billable	Billable
Classification	S00-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)
Definition	Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter is a billable ICD-10-CM diagnosis code (S06.8A3A).	Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter is a billable ICD-10-CM diagnosis code (S06.8A3D).
7th character	The appropriate 7th character is to be added to each code from category S06, except as noted below	The 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-)

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