S06.1X0A ICD-10-CM Code: Traumatic cerebral edema without loss of consciousness, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 082 — TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC (MDC 01)
- MS-DRG 083 — TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC (MDC 01)
- MS-DRG 084 — TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC (MDC 01)
- MS-DRG 085 — TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC (MDC 01)
- MS-DRG 086 — TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC (MDC 01)
- MS-DRG 087 — TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC (MDC 01)
- MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
- MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
- MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 399 — Major Head Injury without Loss of Consciousness
Other models: CMS-HCC V22 HCC 167
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S06.1X0A in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- traumatic brain injury
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- head injury NOS (S09.90)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated:
- open wound of head (S01.-)
- skull fracture (S02.-)
- for any associated infection
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S06.1X0A require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S06, except as noted below.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S06.1X0A in its code family, with their registry titles.
- S06.0XAD — Concussion with loss of consciousness status unknown, subsequent encounter
- S06.0XAS — Concussion with loss of consciousness status unknown, sequela
- S06.1 — Traumatic cerebral edema
- S06.1X — Traumatic cerebral edema
- S06.1X0 — Traumatic cerebral edema without loss of consciousness
- S06.1X0D — Traumatic cerebral edema without loss of consciousness, subsequent encounter
- S06.1X0S — Traumatic cerebral edema without loss of consciousness, sequela
- S06.1X1 — Traumatic cerebral edema with loss of consciousness of 30 minutes or less
- S06.1X1A — Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter
- S06.1X1D — Traumatic cerebral edema with loss of consciousness of 30 minutes or less, subsequent encounter