S06.35 ICD-10-CM Code: Traumatic hemorrhage of left cerebrum

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S06.35 in the official ICD-10-CM tabular list.

Notes without a marker are published on S06.35 itself; “inherited from” names the category or block whose note applies here.

7th Character Guide

"The appropriate 7th character is to be added to each code from category S06, except as noted below"

• A — initial encounter
• D — subsequent encounter
• S — sequela

How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.

ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).

Variant codes in this family

S06.350A, S06.350D, S06.350S, S06.351A, S06.351D, S06.351S, S06.352A, S06.352D

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Do Not Confuse With

Codes named in S06.35's own official notes, or sharing its encounter family, with what separates them. Each links to the full comparison.

• S09.90— Excludes1 conflict (Conflict)

  Not coded here — these two are mutually exclusive.

  Not reported together with this code, except where the two conditions are documented as unrelated.

  Full comparison: S06.35 vs S09.90 →

• S06.350A— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

  The same diagnosis at a different phase of care; one encounter takes one 7th character.

  Full comparison: S06.35 vs S06.350A →

• S06.350D— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

  The same diagnosis at a different phase of care; one encounter takes one 7th character.

  Full comparison: S06.35 vs S06.350D →

• S06.1— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  Full comparison: S06.35 vs S06.1 →

• T20— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  Full comparison: S06.35 vs T20 →

• T32— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  Full comparison: S06.35 vs T32 →

Relationships are read from this code's own official notes and its encounter family; the wording of each distinction is MedCoder editorial. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

1. A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
2. Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
3. 2 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
4. 4 Code Also notes — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
5. 1 Excludes1 entry — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
6. 11 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

• Not billable as written — a more specific code is required: S06.350A, S06.350D, S06.350S, S06.351A, S06.351D.
• Requires a 7th character. "The appropriate 7th character is to be added to each code from category S06, except as noted below" Options: S06.350A, S06.350D, S06.350S, S06.351A, S06.351D, S06.351S

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

Other codes that name S06.35 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 14 Excludes1 notes across 4 chapters: G31.84 — Mild cognitive impairment of uncertain or unknown etiology (via S06.-), I60 — Nontraumatic subarachnoid hemorrhage (via S06.-), I60-I69 — Cerebrovascular diseases (I60-I69) (via S06.-), I61 — Nontraumatic intracerebral hemorrhage (via S06.-), I62 — Other and unspecified nontraumatic intracranial hemorrhage (via S06.-), I63 — Cerebral infarction (via S06.-), I65 — Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction (via S06.-), I66 — Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction (via S06.-), I67 — Other cerebrovascular diseases (via S06.-), I68 — Cerebrovascular disorders in diseases classified elsewhere (via S06.-), I69 — Sequelae of cerebrovascular disease (via S06.-), P52 — Intracranial nontraumatic hemorrhage of newborn (via S06.-), S00 — Superficial injury of head (via S06.3.-), S09.0 — Injury of blood vessels of head, not elsewhere classified (via S06.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 6 Code First instructions across 3 chapters: F02 — Dementia in other diseases classified elsewhere (via S06.-), F06.7 — Mild neurocognitive disorder due to known physiological condition (via S06.-), F48.2 — Pseudobulbar affect (via S06.-), R40.2 — Coma (via S06.-), S04 — Injury of cranial nerve (via S06.-), S06.A — Traumatic brain compression and herniation (via S06.3.-).

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

Referenced by 1 Use Additional Code instruction: S07 — Crushing injury of head (via S06.-).

These codes instruct coders to additionally report this code when it applies.

Referenced by 3 Code Also instructions: S01 — Open wound of head (via S06.-), S02 — Fracture of skull and facial bones (via S06.-), S06.8A — Primary blast injury of brain, not elsewhere classified (via S06.3.-).

These codes suggest coding this condition alongside when both are present.

Related Codes

Same condition, opposite side

Same category and title, differing only in which side of the body is affected.

S06.34 — Traumatic hemorrhage of right cerebrumCompare S06.35 vs S06.34 →

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Hematoma”; these codes share that main term but sit in a different category of the Tabular List.

P10.1 — Cerebral hemorrhage due to birth injury (brain, newborn NEC, birth injury), P10.3 — Subarachnoid hemorrhage due to birth injury (subarachnoid, newborn, due to birth injury), P11.5 — Birth injury to spine and spinal cord (spinal, newborn), P15.0 — Birth injury to liver (liver, birth injury), P15.2 — Sternomastoid injury due to birth injury (sternomastoid, birth injury), P15.4 — Birth injury to face (face, birth injury), P15.5 — Birth injury to external genitalia (vulva, newborn), P15.8 — Other specified birth injuries (birth injury NEC), P52.4 — Intracerebral (nontraumatic) hemorrhage of newborn (brain, newborn NEC), P52.5 — Subarachnoid (nontraumatic) hemorrhage of newborn (subarachnoid, newborn), P52.8 — Other intracranial (nontraumatic) hemorrhages of newborn (subdural, newborn), P54.5 — Neonatal cutaneous hemorrhage (superficial, newborn), S30.201 — Contusion of unspecified external genital organ, male (genital organ NEC, male, traumatic), S30.202 — Contusion of unspecified external genital organ, female (genital organ NEC, female, traumatic), S30.22 — Contusion of scrotum and testes (scrotum, superficial), S30.23 — Contusion of vagina and vulva (perineal), S36.892 — Contusion of other intra-abdominal organs (retroperitoneal, traumatic), S37.892 — Contusion of other urinary and pelvic organ (spermatic cord), S37.898 — Other injury of other urinary and pelvic organ (mesosalpinx, traumatic), T87.89 — Other complications of amputation stump (amputation stump), +23 more

Contextual Map

Every relationship of S06.35 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

• S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]

Referenced by Excludes1 notes (14)

• G31.84 — Mild cognitive impairment of uncertain or unknown etiology[Excludes1](via S06.-): “cognitive impairment due to intracranial or head injury (S06.-)” · Check S06.35 + G31.84 together
• I60 — Nontraumatic subarachnoid hemorrhage[Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)” · Check S06.35 + I60 together
• I60-I69 — Cerebrovascular diseases (I60-I69)[Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)” · Check S06.35 + I60-I69 together
• I61 — Nontraumatic intracerebral hemorrhage[Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)” · Check S06.35 + I61 together
• I62 — Other and unspecified nontraumatic intracranial hemorrhage[Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)” · Check S06.35 + I62 together
• I63 — Cerebral infarction[Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)” · Check S06.35 + I63 together
• I65 — Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction[Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)” · Check S06.35 + I65 together
• I66 — Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction[Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)” · Check S06.35 + I66 together
• and 6 more

Referenced by Code First instructions

• F02 — Dementia in other diseases classified elsewhere[Code First](via S06.-): “traumatic brain injury (S06.-)” · Check S06.35 + F02 together
• F06.7 — Mild neurocognitive disorder due to known physiological condition[Code First](via S06.-): “traumatic brain injury (S06.-)” · Check S06.35 + F06.7 together
• F48.2 — Pseudobulbar affect[Code First](via S06.-): “sequelae of traumatic intracranial injury (S06.-)” · Check S06.35 + F48.2 together
• R40.2 — Coma[Code First](via S06.-): “intracranial injury (S06.-)” · Check S06.35 + R40.2 together
• S04 — Injury of cranial nerve[Code First](via S06.-): “any associated intracranial injury (S06.-)” · Check S06.35 + S04 together
• S06.A — Traumatic brain compression and herniation[Code First](via S06.3.-): “focal traumatic brain injury (S06.3-)” · Check S06.35 + S06.A together

Referenced by Use Additional Code instructions

• S07 — Crushing injury of head[Use Additional Code](via S06.-): “intracranial injuries (S06.-)” · Check S06.35 + S07 together

Referenced by Code Also instructions

• S01 — Open wound of head[Code Also](via S06.-): “intracranial injury (S06.-)” · Check S06.35 + S01 together
• S02 — Fracture of skull and facial bones[Code Also](via S06.-): “any associated intracranial injury (S06.-)” · Check S06.35 + S02 together
• S06.8A — Primary blast injury of brain, not elsewhere classified[Code Also](via S06.3.-): “, if applicable, focal traumatic brain injury (S06.3-)” · Check S06.35 + S06.8A together

Nearest codes (40)

• S06 — Intracranial injury[Sibling]
• S06.345 — Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level[Sibling]
• S06.345A — Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter[Sibling]
• S06.345D — Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter[Sibling]
• S06.345S — Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela[Sibling]
• S06.346 — Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving[Sibling]
• S06.346A — Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter[Sibling]
• S06.346D — Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter[Sibling]
• and 32 more

Change history

• FY2016 — In the code set at ICD-10-CM adoption [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S06.35 in its code family, with their registry titles.

• S06.349S — Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, sequela
• S06.34A — Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown
• S06.34AA — Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, initial encounter
• S06.34AD — Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, subsequent encounter
• S06.34AS — Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, sequela
• S06.350 — Traumatic hemorrhage of left cerebrum without loss of consciousness
• S06.350A — Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter
• S06.350D — Traumatic hemorrhage of left cerebrum without loss of consciousness, subsequent encounter
• S06.350S — Traumatic hemorrhage of left cerebrum without loss of consciousness, sequela
• S06.351 — Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less

View all codes in the S06 family