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S06.A1XA ICD-10-CM Code: Traumatic brain compression with herniation, initial encounter

Compare with another codeCheck this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

Code firstSequence the underlying condition before this code
  • the underlying traumatic brain injury, such as:
  • diffuse traumatic brain injury (S06.2-)
  • focal traumatic brain injury (S06.3-)
  • traumatic subdural hemorrhage (S06.5-)

+1 more in Instructions

Use additional codeReport with this code when documented
  • code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)
Excludes1Never report with this code
Code alsoMay be needed with this code
  • any associated:
  • open wound of head (S01.-)
  • skull fracture (S02.-)
  • for any associated infection
Excludes2Not included here; may be reported together
  • 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)

+5 more in Instructions

IncludesWhat this code covers
  • traumatic brain injury
  • injuries of ear
  • injuries of eye
  • injuries of face [any part]

+13 more in Instructions

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)
  • MS-DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)
  • MS-DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)
  • 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.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S06.A1XA in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on S06.A1XA itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • traumatic brain injury inherited from S06
  • injuries of ear inherited from S00-S09
  • injuries of eye inherited from S00-S09
  • injuries of face [any part] inherited from S00-S09
  • injuries of gum inherited from S00-S09
  • injuries of jaw inherited from S00-S09
  • injuries of oral cavity inherited from S00-S09
  • injuries of palate inherited from S00-S09
  • injuries of periocular area inherited from S00-S09
  • injuries of scalp inherited from S00-S09
  • injuries of temporomandibular joint area inherited from S00-S09
  • injuries of tongue inherited from S00-S09
  • injuries of tooth inherited from S00-S09

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Traumatic brain herniation
  • Traumatic brainstem compression with herniation
  • Traumatic cerebellar compression with herniation
  • Traumatic cerebral compression with herniation

Source: inherited from S06.A1

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from S06

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from S00-S09

Code First

Underlying conditions that must be sequenced before this code.

  • the underlying traumatic brain injury, such as:
  • diffuse traumatic brain injury (S06.2-)
  • focal traumatic brain injury (S06.3-)
  • traumatic subdural hemorrhage (S06.5-)
  • traumatic subarachnoid hemorrhage (S06.6-)

Source: inherited from S06.A

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated:
  • open wound of head (S01.-) inherited from S06
  • skull fracture (S02.-) inherited from S06
  • for any associated infection inherited from S00-S09

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-)

Source: inherited from S06

7th Character Guide

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

  • A — initial encounter (this page’s code)
  • 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.A1XA, S06.A1XD, S06.A1XS

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.

Coder workflow for S06.A1XA

MedCoder structured workflow — derived from this code’s own official record

Before you code S06.A1XA

  1. A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. This page’s code carries “A”. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).

    See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →

  2. S06.A1XA’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  3. Confirm the injury type, the anatomical site at the most specific level documented, laterality where the family codes it, and the encounter for the 7th character. Each injury is coded separately unless the classification provides a combination code, and a superficial injury is not coded when a more severe injury of the same site is documented. Injury chapter guidelines (Guidelines I.C.19.b, I.C.19.b.1).

    Guide: 7th characters: initial, subsequent, sequela →

  4. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with S06.A1XA. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in S06.A1XA’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewS09.90

  2. Is the underlying (etiologic) condition the Code First note names documented?
    Yes → Sequence the underlying condition first, then S06.A1XA.
    No → Continue; do not add an underlying condition the record does not document.

    ReviewS06.2, S06.3, S06.5, S06.6

  3. Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
    Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
    No → The code is invalid without its 7th character — query for the missing element.

Consider S06.A1XA. Then work the Use Additional Code note and review the Code Also note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Anatomical site
At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
Encounter type
Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
The underlying (etiologic) condition
Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
External cause, place and activity
For the external cause codes reported with the injury or poisoning, where documented (Guidelines I.C.20.a).

Official instructions as workflow

  • Excludes1 — check before selecting S06.A1XA(1 note)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with S06.A1XA: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareS09.90

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of S06.A1XA(9 notes)

    Coding workflow: The conditions named in this note are not included in S06.A1XA. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareT16, T17.3, T18.0, T17.2, T15, T63.4

    See the official tabular notes · Guidelines I.A.12.b

  • Code First — sequencing check(5 notes)

    Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before S06.A1XA. Do not add an underlying condition the record does not document.

    ReviewS06.2, S06.3, S06.5, S06.6

    See the official tabular notes · Guidelines I.A.13

  • Use Additional Code — after identifying S06.A1XA(1 note)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with S06.A1XA when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewF06.7

    See the official tabular notes · Guidelines I.A.13

  • Code Also — related condition(4 notes)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    ReviewS01, S02

    See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition S06.A1XA describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewS09.90

Documentation: The patient returns during the healing or recovery phase after active treatment of the same condition.

Coding question: Which 7th character applies?

Path: Review the official 7th-character definitions for this family in the 7th Character Guide.

Reason: “Initial encounter” means active treatment, not the first visit; care during recovery takes “subsequent encounter”, and a complication arising from the original condition takes “sequela” (Guidelines I.C.19.a).

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is S06.A1XA supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Traumatic brain compression with herniation, initial encounter is a billable ICD-10-CM diagnosis code (S06.A1XA).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

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. Sequencing: 5 Code First instructions — the underlying condition is sequenced before this code when present. See the Code First notes
  3. 1 Use Additional Code instruction — 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. 9 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

  • Principal-diagnosis restriction. The Medicare Code Editor lists this code as unacceptable as a principal diagnosis: it describes a circumstance influencing health status rather than a current illness or injury being treated. It is valid as a secondary diagnosis.
  • MCC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.

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

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name S06.A1XA 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.-), G93.5 — Compression of brain (via S06.A.-), 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.-), 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 5 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.-).

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 5 Use Additional Code instructions: S06.2 — Diffuse traumatic brain injury (via S06.A.-), S06.3 — Focal traumatic brain injury (via S06.A.-), S06.5 — Traumatic subdural hemorrhage (via S06.A.-), S06.6 — Traumatic subarachnoid hemorrhage (via S06.A.-), S07 — Crushing injury of head (via S06.-).

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

Referenced by 5 Code Also instructions across 2 chapters: G96.00 — Cerebrospinal fluid leak, unspecified (via S06.-), G96.08 — Other cranial cerebrospinal fluid leak (via S06.-), G96.09 — Other spinal cerebrospinal fluid leak (via S06.-), S01 — Open wound of head (via S06.-), S02 — Fracture of skull and facial bones (via S06.-).

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

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: MCC — Major Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 3 clinically related codes on its CMS exclusion list. Does not count toward severity when the stay groups to DRGs 957-959 (Other O.R. Procedures for Multiple Significant Trauma); DRGs 963-965 (Other Multiple Significant Trauma).

Named in the grouper logic of 9 MS-DRGs: DRG 011 (MDC PRE), DRG 012 (MDC PRE), DRG 013 (MDC PRE), DRG 085 (MDC 01), DRG 086 (MDC 01), DRG 087 (MDC 01), DRG 963 (MDC 24), DRG 964 (MDC 24), DRG 965 (MDC 24).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ008 — Traumatic brain injury (TBI); concussion, initial encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as MCC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

G93.6 — Cerebral edema, G93.82 — Brain death, S06.1X0A — Traumatic cerebral edema without loss of consciousness, initial encounter

Principal diagnosis restriction (Medicare Code Editor)

Not acceptable as a principal diagnosis on an inpatient claim.

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

S06.A1XD — Traumatic brain compression with herniation, subsequent encounterCompare S06.A1XA vs S06.A1XD →, S06.A1XS — Traumatic brain compression with herniation, sequelaCompare S06.A1XA vs S06.A1XS →

Same CMS-HCC risk category (V28)

CMS maps these diagnoses to the same Hierarchical Condition Category (Major Head Injury without Loss of Consciousness) for risk-adjusted payment.

S06.37AA — Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown, initial encounter, S06.380A — Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter, S06.38AA — Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, initial encounter, S06.4X0A — Epidural hemorrhage without loss of consciousness, initial encounter, S06.4XAA — Epidural hemorrhage with loss of consciousness status unknown, initial encounter, S06.5X0A — Traumatic subdural hemorrhage without loss of consciousness, initial encounter, S06.5XAA — Traumatic subdural hemorrhage with loss of consciousness status unknown, initial encounter, S06.6X0A — Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter, S06.6XAA — Traumatic subarachnoid hemorrhage with loss of consciousness status unknown, initial encounter, S06.810A — Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter, S06.81AA — Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter, S06.820A — Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter, S06.82AA — Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter, S06.890A — Other specified intracranial injury without loss of consciousness, initial encounter, S06.89AA — Other specified intracranial injury with loss of consciousness status unknown, initial encounter, S06.8A0A — Primary blast injury of brain, not elsewhere classified without loss of consciousness, initial encounter, S06.8AAA — Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, initial encounter, S06.9X0A — Unspecified intracranial injury without loss of consciousness, initial encounter, S06.9XAA — Unspecified intracranial injury with loss of consciousness status unknown, initial encounter, S06.A0XA — Traumatic brain compression without herniation, initial encounter, +168 more

Related risk categories

These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.

Major Head Injury with Loss of Consciousness > 1 Hour, Major Head Injury with Loss of Consciousness < 1 Hour or Unspecified

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Traumatic brain injury (TBI); concussion, initial encounter).

S06.8A3A — Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter, S06.8A4A — Primary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter, S06.8A5A — Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter, S06.8A6A — Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter, S06.8A7A — Primary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter, S06.8A8A — Primary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter, S06.8A9A — Primary blast injury of brain, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter, S06.8AAA — Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, initial encounter, S06.9X0A — Unspecified intracranial injury without loss of consciousness, initial encounter, S06.9X1A — Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter, S06.9X2A — Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter, S06.9X3A — Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter, S06.9X4A — Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter, S06.9X5A — Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter, S06.9X6A — Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter, S06.9X7A — Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter, S06.9X8A — Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter, S06.9X9A — Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter, S06.9XAA — Unspecified intracranial injury with loss of consciousness status unknown, initial encounter, S06.A0XA — Traumatic brain compression without herniation, initial encounter, +194 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)

Contextual Map

Every relationship of S06.A1XA 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.

Run S06.A1XA with these 23 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes (14)

Referenced by Code First instructions

Referenced by Use Additional Code instructions

  • S06.2 — Diffuse traumatic brain injury[Use Additional Code](via S06.A.-): “code, if applicable, for traumatic brain compression or herniation (S06.A-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • S06.3 — Focal traumatic brain injury[Use Additional Code](via S06.A.-): “code, if applicable, for traumatic brain compression or herniation (S06.A-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • S06.5 — Traumatic subdural hemorrhage[Use Additional Code](via S06.A.-): “code, if applicable, for traumatic brain compression or herniation (S06.A-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • S06.6 — Traumatic subarachnoid hemorrhage[Use Additional Code](via S06.A.-): “code, if applicable, for traumatic brain compression or herniation (S06.A-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • S07 — Crushing injury of head[Use Additional Code](via S06.-): “intracranial injuries (S06.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Code Also instructions

Clinical classification (CCSR)

Risk adjustment (CMS-HCC)

  • HCC 399 — Major Head Injury without Loss of Consciousness [CMS-HCC]— CMS-HCC V28 · 2026

MS-DRG Grouper (9)

MDC crossing

  • Pre-MDC[MDC crossing]: “Pre-MDC — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 175 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
  • MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,919 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Nearest codes (40)

Change history

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Common coding questions

MedCoder editorial

Does S06.A1XA require a 7th character?

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

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Risk adjustment Official source data
2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
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Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

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Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "S06.A1XA — Traumatic brain compression with herniation, initial encounter." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/s06.a1xa-traumatic-brain-compression-with-herniation-initial-encounter

Change history

  • FY2022 — October 1, 2021
    Added to the code set
    Traumatic brain compression with herniation, initial encounter
    FY2022 changes

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S06.A1XA in its code family, with their registry titles.

View all codes in the S06 family