S06.A1XD ICD-10-CM Code: Traumatic brain compression with herniation, subsequent 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, Appendix B.
- MS-DRG 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
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.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S06.A1XD 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
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
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).
- head injury NOS (S09.90) Compare S06.A1XD vs 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) Compare S06.A1XD vs T20 →
- effects of foreign body in ear (T16) Compare S06.A1XD vs T16 →
- effects of foreign body in larynx (T17.3) Compare S06.A1XD vs T17.3 →
- effects of foreign body in mouth NOS (T18.0) Compare S06.A1XD vs T18.0 →
- effects of foreign body in nose (T17.0-T17.1) Compare S06.A1XD vs T17.0 →
- effects of foreign body in pharynx (T17.2) Compare S06.A1XD vs T17.2 →
- effects of foreign body on external eye (T15.-) Compare S06.A1XD vs T15 →
- frostbite (T33-T34) Compare S06.A1XD vs T33 →
- insect bite or sting, venomous (T63.4) Compare S06.A1XD vs T63.4 →
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-)
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-)
Change history
- FY2022 — 2021-10-01Added to the code setTraumatic brain compression with herniation, subsequent encounterFY2022 changes
Verify Before Coding
- Billable — reportable as written.
- 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.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S06.A1XD 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]
- S00-S09 — Injuries to the head [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.-)”
- G93.5 — Compression of brain [Excludes1](via S06.A.-): “traumatic compression of brain (S06.A-)”
- I60 — Nontraumatic subarachnoid hemorrhage [Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)”
- I60-I69 — Cerebrovascular diseases (I60-I69) [Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)”
- I61 — Nontraumatic intracerebral hemorrhage [Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)”
- I62 — Other and unspecified nontraumatic intracranial hemorrhage [Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)”
- I63 — Cerebral infarction [Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)”
- I65 — Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction [Excludes1](via S06.-): “traumatic intracranial hemorrhage (S06.-)”
- and 6 more
Referenced by Code First instructions
- F02 — Dementia in other diseases classified elsewhere [Code First](via S06.-): “traumatic brain injury (S06.-)”
- F06.7 — Mild neurocognitive disorder due to known physiological condition [Code First](via S06.-): “traumatic brain injury (S06.-)”
- F48.2 — Pseudobulbar affect [Code First](via S06.-): “sequelae of traumatic intracranial injury (S06.-)”
- R40.2 — Coma [Code First](via S06.-): “intracranial injury (S06.-)”
- S04 — Injury of cranial nerve [Code First](via S06.-): “any associated intracranial injury (S06.-)”
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-)”
- S06.3 — Focal traumatic brain injury [Use Additional Code](via S06.A.-): “code, if applicable, for traumatic brain compression or herniation (S06.A-)”
- S06.5 — Traumatic subdural hemorrhage [Use Additional Code](via S06.A.-): “code, if applicable, for traumatic brain compression or herniation (S06.A-)”
- S06.6 — Traumatic subarachnoid hemorrhage [Use Additional Code](via S06.A.-): “code, if applicable, for traumatic brain compression or herniation (S06.A-)”
- S07 — Crushing injury of head [Use Additional Code](via S06.-): “intracranial injuries (S06.-)”
Referenced by Code Also instructions
- S01 — Open wound of head [Code Also](via S06.-): “intracranial injury (S06.-)”
- S02 — Fracture of skull and facial bones [Code Also](via S06.-): “any associated intracranial injury (S06.-)”
Clinical classification (CCSR)
- INJ045 — Traumatic brain injury (TBI); concussion, subsequent encounter [CCSR]
Potential MS-DRG
- DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
- DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”
MDC crossing · procedures (1235)
- MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — 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.”
- F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.”
- F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.”
- F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.”
- F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.”
- F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.”
- and 1230 more
Nearest codes (40)
- S06 — Intracranial injury [Sibling]
- S06.9X2 — Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes [Sibling]
- S06.9X2A — Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter [Sibling]
- S06.9X2D — Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter [Sibling]
- S06.9X2S — Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequela [Sibling]
- S06.9X3 — Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes [Sibling]
- S06.9X3A — Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter [Sibling]
- S06.9X3D — Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter [Sibling]
- and 32 more
Change history
- FY2022 — Added to the code set [Change history]
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ045 — Traumatic brain injury (TBI); concussion, subsequent encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name S06.A1XD or its code family.
14 Excludes1 notes across 4 chapters: G31.84 (via S06.-), G93.5 (via S06.A.-), I60 (via S06.-), I60-I69 (via S06.-), I61 (via S06.-), I62 (via S06.-), I63 (via S06.-), I65 (via S06.-), I66 (via S06.-), I67 (via S06.-) and 4 more.
5 Code First instructions across 3 chapters: F02 (via S06.-), F06.7 (via S06.-), F48.2 (via S06.-), R40.2 (via S06.-), S04 (via S06.-).
5 Use Additional Code instructions: S06.2 (via S06.A.-), S06.3 (via S06.A.-), S06.5 (via S06.A.-), S06.6 (via S06.A.-), S07 (via S06.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S06.A1XD 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.A1XD in its code family, with their registry titles.
- S06.9XAA — Unspecified intracranial injury with loss of consciousness status unknown, initial encounter
- S06.9XAD — Unspecified intracranial injury with loss of consciousness status unknown, subsequent encounter
- S06.9XAS — Unspecified intracranial injury with loss of consciousness status unknown, sequela
- S06.A — Traumatic brain compression and herniation
- S06.A0 — Traumatic brain compression without herniation
- S06.A0XA — Traumatic brain compression without herniation, initial encounter
- S06.A0XD — Traumatic brain compression without herniation, subsequent encounter
- S06.A0XS — Traumatic brain compression without herniation, sequela
- S06.A1 — Traumatic brain compression with herniation
- S06.A1XA — Traumatic brain compression with herniation, initial encounter