In concussion imaging, which ICD-10-CM code represents the concussion diagnosis?

In concussion imaging, which ICD-10-CM code represents the concussion diagnosis?

• A. S06.5X0A
• B. S06.5X0B
• C. S06.9X0A
• D. S06.0X0A

Answer: (A)

Concussion is coded under the intracranial injury category (S06) in ICD-10-CM. When the documentation reflects an initial encounter for a concussion diagnosed (confirmed or assessed) with imaging, the appropriate code pattern is S06.5X0A. The seventh-character A indicates the initial encounter, and the X serves as a placeholder to complete the seven-character code structure. The 0 in the middle position denotes no specific detail about loss of consciousness is being added here. Imaging confirms the concussion diagnosis, but it doesn’t change the code itself—the code is determined by the diagnosis and encounter type. If the patient were seen later during treatment or a sequela developed, the code would change to reflect a subsequent encounter or sequela (D or S).

Concussion is coded under the intracranial injury category (S06) in ICD-10-CM. When the documentation reflects an initial encounter for a concussion diagnosed (confirmed or assessed) with imaging, the appropriate code pattern is S06.5X0A. The seventh-character A indicates the initial encounter, and the X serves as a placeholder to complete the seven-character code structure. The 0 in the middle position denotes no specific detail about loss of consciousness is being added here. Imaging confirms the concussion diagnosis, but it doesn’t change the code itself—the code is determined by the diagnosis and encounter type. If the patient were seen later during treatment or a sequela developed, the code would change to reflect a subsequent encounter or sequela (D or S).