Medical PolicyMedical Policy
Policy Num: 02.007.011
Policy Name: Neuropsychological Test
Policy ID: [02.007.011] [Ar / L / M+ / P-] [0.00.00]
Last Review: November 26, 2024
Next Review: Policy Archived
ARCHIVED
Related Policies: None
| Population Reference No. | Populations | Interventions | Comparators | Outcomes |
| 1 | Individuals:
| Interventions of interest:
| Comparators of interest are:
| Relevant outcome includes:
|
| 2 | Individuals:
| Interventions of interest:
| Comparators of interest are:
| Relevant outcome includes:
|
| 3 | Individuals:
| Interventions of interest: · Neuropsychological testing | Comparators of interest are:
| Relevant outcome includes:
|
| 4 | Individuals:
| Interventions of interest:
| Comparators of interest are:
| Relevant outcome includes:
|
Neuropsychology is defined as the study (knowledge, evaluation and modification) of the brain-behavior relationship. Neuropsychology seeks to understand how the brain, through the neural network, produces and controls the behavior and mental processes including emotions, personality, thinking, learning, memory, focus, problem solving and knowledge. This discipline tries to identify the biological reasons for the behavior. Among other purposes, it seeks to clarify how diseased or damaged brain structures alter behavior and interfere with the mental process and cognitive functions.
The neuropsychological tests try to measure the deficit in cognitive function and the behavioral capacity that can result from brain damage by trauma, attention deficit, exposure to toxic chemicals, alcohol, convulsive disturbances, Parkinson's disease, stroke, dementia, psychosis, etc.
These tests evaluate different domain areas, namely:
• attention / concentration
• perception
• language
• praxis
• calculation
• visuoconstructive skills
• visual perception
• executive / adaptive functions
• emotional domain
The objective of this policy is to determine which neuro psychological test is the appropriate in different scenarios and evaluate its clinical outcome.
Neuropsychological tests are considered for payment in the following situations if they are administered by a neuropsychologist as ordered by a neurologist:
2. Evaluation of dementia vs. Pseudodementia
3. Differentiate epilepsy from pseudoconvulsions.
4. Differentiate sequelae from brain trauma simulation ("malingering").
Areas of domain to be evaluated by neuropsychological testing should include intellectual, spatial memory, executive functions, adaptive functions, personality, language, emotional control and attention.
BlueCard/National Account Issues
Benefits are determined by the group contract, member benefit booklet, and/or individual subscriber certificate in effect at the time services were rendered. Benefit products or negotiated coverages may have all or some of the services discussed in this medical policy excluded from their coverage.
According to Law 163 of August 13, 2024 - “Law for the Protection, Security, Integration, Well-being and Comprehensive Development of People with Autism Spectrum Disorders”, medical plans are obliged to offer coverage for all health interventions scientifically validated as effective for Autism Spectrum Disorders and may not establish limitations regarding age, limit of benefit, or number of visits to a medical services professional, once medical necessity has been established by a licensed physician.
Neuropsychological testing usually involves extensive evaluation of multiple cognitive domains (eg, attention, orientation, executive function, verbal memory, spatial memory, language, calculations, mental flexibility, and conceptualization).
In a 2001 practice parameter, the American Academy of Neurology (AAN) reviewed a number of studies of neuropsychological testing for dementia; some were well-designed observational controlled studies [49-53], and others were case series . Most studies demonstrated a relatively high sensitivity (range 80 to 98 percent) and specificity (from 44 to 98 percent) for detection of dementia. The AAN concluded that neuropsychological batteries are useful in identifying patients with dementia, particularly when administered to those at higher risk by virtue of memory impairment. Neuropsychological instruments that emphasize memory function were considered most useful. Five subtests (animal naming, Modified Boston Naming Test, MMSE, constructional praxis, and word list memory) were identified to be a valid, reliable measure of cognition in normal aging and AD. An aggregate total score accurately differentiated normals from those with MCI and AD. However, it is important to recognize that scores can also be influenced by education and age and apply only to individuals whose primary language is English.
In addition to its role in helping to discriminate between normal aging and dementia, neuropsychological testing can identify patterns of deficits that suggest a particular cause of dementia (eg, AD versus DLB). However, no single item on the panel has high discriminatory ability, and the pattern of performance on various domains must be interpreted in conjunction with the history, neuroimaging studies, and other testing to arrive at a presumptive etiologic diagnosis.
Assessment of the diagnostic technology in relevant populations and clinical utility and demonstrate that the diagnostic information can be used to improve patient outcomes.
Population Reference No. 1
Individuals; brain trauma,
| Population Reference No. 1 Policy Statement | [X] MedicallyNecessary | [ ] Investigational |
Population Reference No. 2
Individuals; convulsive dissorder
| Population Reference No. 2 Policy Statement | [X] MedicallyNecessary | [ ] Investigational |
Population Reference No. 3
Individuals; dementia psychosis
| Population Reference No. 3 Policy Statement | [X] MedicallyNecessary | [ ] Investigational |
Population Reference No. 4
Individuals; attention deficit
| Population Reference No. 4 Policy Statement | [X] MedicallyNecessary | [ ] Investigational |
| Codes | Number | Description |
| CPT | 96116 | Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities |
| ICD-10 CM | F01.50 | Vascular dementia without behavioral disturbance |
| | F03.90 | Unspecified dementia without behavioral disturbance |
| | F05 | Delirium due to known physiological condition |
| | F06.0 | Psychotic disorder with hallucinations due to known physiological condition |
| | F06.1 | Catatonic disorder due to known physiological condition |
| | F06.4 | Anxiety disorder due to known physiological condition |
| | F06.8 | Other specified mental disorders due to known physiological condition |
| | F18.17 | Inhalant abuse with inhalant-induced dementia |
| | F18.27 | Inhalant dependence with inhalant-induced dementia |
| | F18.97 | Inhalant use, unspecified with inhalant-induced persisting dementia |
| | F19.17 | Other psychoactive substance abuse with psychoactive substance-induced persisting dementia |
| | F19.27 | Other psychoactive substance dependence with psychoactive substance-induced persisting dementia |
| | F19.97 | Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementia |
| | F29 | Unspecified psychosis not due to a substance or known physiological condition |
| | F32.8 | Other depressive episodes |
| | F32.9 | Major depressive disorder, single episode, unspecified |
| | F34.1 | Dysthymic disorder |
| | F39 | Unspecified mood [affective] disorder |
| | F40.00 | Agoraphobia, unspecified |
| | F40.01 | Agoraphobia with panic disorder |
| | F40.02 | Agoraphobia without panic disorder |
| | F40.10 | Social phobia, unspecified |
| | F40.11 | Social phobia, generalized |
| | F40.210 | Arachnophobia |
| | F40.218 | Other animal type phobia |
| | F40.220 | Fear of thunderstorms |
| | F40.228 | Other natural environment type phobia |
| | F40.230 | Fear of blood |
| | F40.231 | Fear of injections and transfusions |
| | F40.232 | Fear of other medical care |
| | F40.233 | Fear of injury |
| | F40.240 | Claustrophobia |
| | F40.241 | Acrophobia |
| | F40.242 | Fear of bridges |
| | F40.243 | Fear of flying |
| | F40.248 | Other situational type phobia |
| | F40.290 | Androphobia |
| | F40.291 | Gynophobia |
| | F40.298 | Other specified phobia |
| | F40.8 | Other phobic anxiety disorders |
| | F40.9 | Phobic anxiety disorder, unspecified |
| | F41.1 | Generalized anxiety disorder |
| | F41.3 | Other mixed anxiety disorders |
| | F41.8 | Other specified anxiety disorders |
| | F41.9 | Anxiety disorder, unspecified |
| | F42 | Obsessive-compulsive disorder |
| | F43.0 | Acute stress reaction |
| | F43.20 | Adjustment disorder, unspecified |
| | F43.21 | Adjustment disorder with depressed mood |
| | F43.22 | Adjustment disorder with anxiety |
| | F43.23 | Adjustment disorder with mixed anxiety and depressed mood |
| | F43.24 | Adjustment disorder with disturbance of conduct |
| | F43.25 | Adjustment disorder with mixed disturbance of emotions and conduct |
| | F43.29 | Adjustment disorder with other symptoms |
| F43.81 | Prolonged grief disorder | |
| | F43.89 | Other reactions to severe stress |
| | F44.89 | Other dissociative and conversion disorders |
| | F45.0 | Somatization disorder |
| | F45.1 | Undifferentiated somatoform disorder |
| | F45.20 | Hypochondriacal disorder, unspecified |
| | F45.21 | Hypochondriasis |
| | F45.22 | Body dysmorphic disorder |
| | F45.29 | Other hypochondriacal disorders |
| | F45.8 | Other somatoform disorders |
| | F45.9 | Somatoform disorder, unspecified |
| | F52.1 | Sexual aversion disorder |
| | F52.21 | Male erectile disorder |
| | F52.22 | Female sexual arousal disorder |
| | F52.32 | Male orgasmic disorder |
| | F52.4 | Premature ejaculation |
| | F52.5 | Vaginismus not due to a substance or known physiological condition |
| | F52.8 | Other sexual dysfunction not due to a substance or known physiological condition |
| | F53.0 | Postpartum depression |
| | F53.1 | Puerperal psychosis |
| | F68.10 | Factitious disorder, unspecified |
| | F68.11 | Factitious disorder with predominantly psychological signs and symptoms |
| | F68.12 | Factitious disorder with predominantly physical signs and symptoms |
| | F68.13 | Factitious disorder with combined psychological and physical signs and symptoms |
| | F81.0 | Specific reading disorder |
| | F81.81 | Disorder of written expression |
| | F81.89 | Other developmental disorders of scholastic skills |
| | F81.9 | Developmental disorder of scholastic skills, unspecified |
| | F82 | Specific developmental disorder of motor function |
| | F84.0 | Autistic disorder |
| | F84.3 | Other childhood disintegrative disorder |
| | F84.5 | Aspergers syndrome |
| | F84.8 | Other pervasive developmental disorders |
| | F84.9 | Pervasive developmental disorder, unspecified |
| | F88 | Other disorders of psychological development |
| | F89 | Unspecified disorder of psychological development |
| | F90.0 | Attention-deficit hyperactivity disorder, predominantly inattentive type |
| | F90.1 | Attention-deficit hyperactivity disorder, predominantly hyperactive type |
| | F90.2 | Attention-deficit hyperactivity disorder, combined type |
| | F90.8 | Attention-deficit hyperactivity disorder, other type |
| | F90.9 | Attention-deficit hyperactivity disorder, unspecified type |
| | F91.3 | Oppositional defiant disorder |
| | F93.0 | Separation anxiety disorder of childhood |
| | F93.8 | Other childhood emotional disorders |
| | F93.9 | Childhood emotional disorder, unspecified |
| | F94.8 | Other childhood disorders of social functioning |
| G20.A1 | Parkinson's disease without dyskinesia, without mention of fluctuations | |
| G20.A2 | Parkinson's disease without dyskinesia, with fluctuations | |
| G20.B1 | Parkinson's disease with dyskinesia, without mention of fluctuations | |
| G20.B2 | Parkinson's disease with dyskinesia, with fluctuations | |
| G20.C | Parkinsonism, unspecified | |
| | G30.0 | Alzheimers disease with early onset |
| | G30.1 | Alzheimers disease with late onset |
| | G30.8 | Other Alzheimers disease |
| | G30.9 | Alzheimers disease, unspecified |
| | G31.09 | Other frontotemporal dementia |
| | G31.1 | Senile degeneration of brain, not elsewhere classified |
| | G31.83 | Dementia with Lewy bodies |
| | G40.001 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus |
| | G40.009 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus |
| | G40.011 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus |
| | G40.019 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus |
| | G40.101 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus |
| | G40.109 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus |
| | G40.111 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus |
| | G40.119 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus |
| | G40.201 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus |
| | G40.209 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus |
| | G40.211 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus |
| | G40.219 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus |
| | G40.301 | Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus |
| | G40.309 | Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus |
| | G40.311 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus |
| | G40.319 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus |
| | G40.401 | Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus |
| | G40.409 | Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus |
| | G40.411 | Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus |
| | G40.419 | Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus |
| | G40.501 | Epileptic seizures related to external causes, not intractable, with status epilepticus |
| | G40.509 | Epileptic seizures related to external causes, not intractable, without status epilepticus |
| | G40.801 | Other epilepsy, not intractable, with status epilepticus |
| | G40.802 | Other epilepsy, not intractable, without status epilepticus |
| | G40.803 | Other epilepsy, intractable, with status epilepticus |
| | G40.804 | Other epilepsy, intractable, without status epilepticus |
| | G40.811 | Lennox-Gastaut syndrome, not intractable, with status epilepticus |
| | G40.812 | Lennox-Gastaut syndrome, not intractable, without status epilepticus |
| | G40.813 | Lennox-Gastaut syndrome, intractable, with status epilepticus |
| | G40.814 | Lennox-Gastaut syndrome, intractable, without status epilepticus |
| | G40.821 | Epileptic spasms, not intractable, with status epilepticus |
| | G40.822 | Epileptic spasms, not intractable, without status epilepticus |
| | G40.823 | Epileptic spasms, intractable, with status epilepticus |
| | G40.824 | Epileptic spasms, intractable, without status epilepticus |
| | G40.89 | Other seizures |
| | G40.901 | Epilepsy, unspecified, not intractable, with status epilepticus |
| | G40.909 | Epilepsy, unspecified, not intractable, without status epilepticus |
| | G40.911 | Epilepsy, unspecified, intractable, with status epilepticus |
| | G40.919 | Epilepsy, unspecified, intractable, without status epilepticus |
| | G40.A01 | Absence epileptic syndrome, not intractable, with status epilepticus |
| | G40.A09 | Absence epileptic syndrome, not intractable, without status epilepticus |
| | G40.A11 | Absence epileptic syndrome, intractable, with status epilepticus |
| | G40.A19 | Absence epileptic syndrome, intractable, without status epilepticus |
| | G40.B01 | Juvenile myoclonic epilepsy, not intractable, with status epilepticus |
| | G40.B09 | Juvenile myoclonic epilepsy, not intractable, without status epilepticus |
| | G40.B11 | Juvenile myoclonic epilepsy, intractable, with status epilepticus |
| | G40.B19 | Juvenile myoclonic epilepsy, intractable, without status epilepticus |
| | R48.0 | Dyslexia and alexia |
| | S01.90XA | Unspecified open wound of unspecified part of head, initial encounter |
| | S01.90XA | Unspecified open wound of unspecified part of head, initial encounter |
| | S01.90XD | Unspecified open wound of unspecified part of head, subsequent encounter |
| | S01.90XD | Unspecified open wound of unspecified part of head, subsequent encounter |
| | S01.90XS | Unspecified open wound of unspecified part of head, sequela |
| | S01.90XS | Unspecified open wound of unspecified part of head, sequela |
| | S06.0X0A | Concussion without loss of consciousness, initial encounter |
| | S06.0X0A | Concussion without loss of consciousness, initial encounter |
| | S06.0X0D | Concussion without loss of consciousness, subsequent encounter |
| | S06.0X0D | Concussion without loss of consciousness, subsequent encounter |
| | S06.0X0S | Concussion without loss of consciousness, sequela |
| | S06.0X0S | Concussion without loss of consciousness, sequela |
| | S06.1X0A | Traumatic cerebral edema without loss of consciousness, initial encounter |
| | S06.1X0A | Traumatic cerebral edema without loss of consciousness, initial encounter |
| | S06.1X0D | Traumatic cerebral edema without loss of consciousness, subsequent encounter |
| | S06.1X0D | Traumatic cerebral edema without loss of consciousness, subsequent encounter |
| | S06.1X0S | Traumatic cerebral edema without loss of consciousness, sequela |
| | S06.1X0S | Traumatic cerebral edema without loss of consciousness, sequela |
| | S06.1X1A | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter |
| | 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 |
| | S06.1X1D | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.1X1S | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, sequela |
| | S06.1X1S | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, sequela |
| | S06.1X2A | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.1X2A | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.1X2D | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.1X2D | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.1X2S | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.1X2S | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.1X3A | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.1X3A | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.1X3D | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.1X3D | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.1X3S | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.1X3S | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.1X4A | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.1X4A | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.1X4D | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.1X4D | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.1X4S | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.1X5A | Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.1X5D | Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.1X5S | Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | S06.1X6A | Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| | S06.1X6D | Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter |
| | S06.1X6S | Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| | S06.1X7A | Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| | S06.1X7D | Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter |
| | S06.1X7S | Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela |
| | S06.1X8A | Traumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| | S06.1X8D | Traumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter |
| | S06.1X8S | Traumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela |
| | S06.1X9A | Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter |
| | S06.1X9D | Traumatic cerebral edema with loss of consciousness of unspecified duration, subsequent encounter |
| | S06.1X9S | Traumatic cerebral edema with loss of consciousness of unspecified duration, sequela |
| | S06.2X0A | Diffuse traumatic brain injury without loss of consciousness, initial encounter |
| | S06.2X0D | Diffuse traumatic brain injury without loss of consciousness, subsequent encounter |
| | S06.2X0S | Diffuse traumatic brain injury without loss of consciousness, sequela |
| | S06.2X1A | Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter |
| | S06.2X1D | Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.2X1S | Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, sequela |
| | S06.2X2A | Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.2X2D | Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.2X2S | Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.2X3A | Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.2X3D | Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.2X3S | Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.2X4A | Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.2X4D | Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.2X4S | Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.2X5A | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounter |
| | S06.2X5D | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, subsequent encounter |
| | S06.2X5S | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, sequela |
| | S06.2X6A | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| | S06.2X6D | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter |
| | S06.2X6S | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| | S06.2X7A | Diffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| | S06.2X7D | Diffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter |
| | S06.2X7S | Diffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela |
| | S06.2X8A | Diffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| | S06.2X8D | Diffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter |
| | S06.2X8S | Diffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela |
| | S06.2X9A | Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter |
| | S06.2X9D | Diffuse traumatic brain injury with loss of consciousness of unspecified duration, subsequent encounter |
| | S06.2X9S | Diffuse traumatic brain injury with loss of consciousness of unspecified duration, sequela |
| | S06.300A | Unspecified focal traumatic brain injury without loss of consciousness, initial encounter |
| | S06.300D | Unspecified focal traumatic brain injury without loss of consciousness, subsequent encounter |
| | S06.300S | Unspecified focal traumatic brain injury without loss of consciousness, sequela |
| | S06.301A | Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter |
| | S06.301D | Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.301S | Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, sequela |
| | S06.302A | Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.302D | Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.302S | Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.303A | Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.303D | Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.303S | Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.304A | Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.304D | Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.304S | Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.305A | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.305D | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.305S | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | S06.306A | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| | S06.306D | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter |
| | S06.306S | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| | S06.307A | Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| | S06.307D | Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter |
| | S06.307S | Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela |
| | S06.308A | Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| | S06.308D | Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter |
| | S06.308S | Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela |
| | S06.309A | Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounter |
| | S06.309D | Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration,subsequent encounter |
| | S06.309S | Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, sequela |
| | S06.345A | Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.345D | Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.345S | Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | S06.370A | Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter |
| | S06.370D | Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, subsequent encounter |
| | S06.370S | Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, sequela |
| | S06.371A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter |
| | S06.371D | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.371S | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, sequela |
| | S06.372A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.372D | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.372S | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.373A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.373D | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.373S | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.374A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.374D | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.374S | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.375A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.375D | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.375S | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | S06.376A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| | S06.376D | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter |
| | S06.376S | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| | S06.379A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, initial encounter |
| | S06.379D | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, subsequent encounter |
| | S06.379S | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, sequela |
| | S06.381A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, initial encounter |
| | S06.381D | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.381S | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, sequela |
| | S06.382A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.382D | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.382S | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.383A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.383D | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.383S | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.384A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.384D | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.384S | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.385A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.385D | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.385S | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | S06.4X1A | Epidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter |
| | S06.4X1D | Epidural hemorrhage with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.4X1S | Epidural hemorrhage with loss of consciousness of 30 minutes or less, sequela |
| | S06.4X2A | Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.4X2D | Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.4X2S | Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.4X3A | Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.4X3D | Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.4X3S | Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.4X4A | Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.4X4D | Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.4X4S | Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.4X5A | Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.4X5D | Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.4X5S | Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | S06.5X3A | Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.5X3D | Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.5X3S | Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.5X4A | Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.5X4D | Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.5X4S | Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.810A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter |
| | S06.810D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, subsequent encounter |
| | S06.810S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, sequela |
| | S06.811A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter |
| | S06.811D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.811S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, sequela |
| | S06.812A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.812D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.812S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.813A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.813D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.813S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.814A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.814D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.814S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.815A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.815D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.815S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | S06.816A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| | S06.816D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter |
| | S06.816S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| | S06.817A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| | S06.817D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter |
| | S06.817S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela |
| | S06.818A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| | S06.818D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter |
| | S06.818S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela |
| | S06.819A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter |
| | S06.819D | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, subsequent encounter |
| | S06.819S | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela |
| | S06.820A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter |
| | S06.820D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, subsequent encounter |
| | S06.820S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, sequela |
| | S06.821A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter |
| | S06.821D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.821S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, sequela |
| | S06.822A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.822D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.822S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.823A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.823D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.823S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.824A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.824D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours,subsequent encounter |
| | S06.824S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.825A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.825D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.825S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | S06.826A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| | S06.826D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter |
| | S06.826S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| | S06.827A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| | S06.827D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter |
| | S06.827S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela |
| | S06.828A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| | S06.828D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter |
| | S06.828S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela |
| | S06.829A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter |
| | S06.829D | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, subsequent encounter |
| | S06.829S | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela |
| | S06.890A | Other specified intracranial injury without loss of consciousness, initial encounter |
| | S06.890D | Other specified intracranial injury without loss of consciousness, subsequent encounter |
| | S06.890S | Other specified intracranial injury without loss of consciousness, sequela |
| | S06.891A | Other specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter |
| | S06.891D | Other specified intracranial injury with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.891S | Other specified intracranial injury with loss of consciousness of 30 minutes or less, sequela |
| | S06.892A | Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.892D | Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.892S | Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.893A | Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.893D | Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.893S | Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.894A | Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.894D | Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.894S | Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.895A | Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.895D | Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.895S | Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | S06.896A | Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| | S06.896D | Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter |
| | S06.896S | Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| | S06.897A | Other specified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| | S06.897D | Other specified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter |
| | S06.897S | Other specified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela |
| | S06.898A | Other specified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| | S06.898D | Other specified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter |
| | S06.898S | Other specified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela |
| | S06.899A | Other specified intracranial injury with loss of consciousness of unspecified duration, initial encounter |
| | S06.899D | Other specified intracranial injury with loss of consciousness of unspecified duration, subsequent encounter |
| | S06.899S | Other specified intracranial injury with loss of consciousness of unspecified duration, sequela |
| | S06.9X0A | Unspecified intracranial injury without loss of consciousness, initial encounter |
| | S06.9X0D | Unspecified intracranial injury without loss of consciousness, subsequent encounter |
| | S06.9X0S | Unspecified intracranial injury without loss of consciousness, sequela |
| | S06.9X1A | Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter |
| | S06.9X1D | Unspecified intracranial injury with loss of consciousness of 30 minutes or less, subsequent encounter |
| | S06.9X1S | Unspecified intracranial injury with loss of consciousness of 30 minutes or less, sequela |
| | S06.9X2A | Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| | S06.9X2D | Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| | S06.9X2S | Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequela |
| | S06.9X3A | Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| | S06.9X3D | Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| | S06.9X3S | Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| | S06.9X4A | Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| | S06.9X4D | Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| | S06.9X4S | Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, sequela |
| | S06.9X5A | Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| | S06.9X5D | Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| | S06.9X5S | Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| | 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 |
| | S06.9X6D | Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter |
| | S06.9X6S | Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| | S06.9X7A | Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| | S06.9X7D | Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter |
| | S06.9X7S | Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela |
| | S06.9X8A | Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| | S06.9X8D | Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter |
| | S06.9X8S | Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela |
| | S06.9X9A | Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter |
| | S06.9X9D | Unspecified intracranial injury with loss of consciousness of unspecified duration, subsequent encounter |
| | S06.9X9S | Unspecified intracranial injury with loss of consciousness of unspecified duration, sequela |
| | Z76.5 | Malingerer [conscious simulation] |
| Date | Action | Description |
| 11/26/24 | Policy Review | A statement regarding P.R. Law 63 for the Protection of People with Autism Spectrum Disorders has been added. Minimal editorial refinements were made. No change to policy statements. |
| 08/22/23 | ICD-10 codes update | Added ICD-10 CM G20.A1, G20.A2, G20.B1, G20.B2, G20.C, effective date 10/01/2023, Delete ICD-10 CM G20 09/30/2023. |
| 03/27/23 | Review policy | Added ICD-10 CM G20 - Parkinson's disease, effective date 02/01/2023. |
| 07/11/22 | Review policy | Changes ICD-10 CM (Add F43.81, F43.89, effective date 10/01/2022, Delete F43.8, termination date 09/30/2022). |
| 05/08/19 | Annual review | No changes |
| 12/14/18 | (ICD-10 added) | Delete CPT termination date 12/31/2018, and have no substitute (96118, 96119, 96120) Include (F53.0, F53.1) and delete (F53) ICD-10 2018, Archived Policy, New Format |
| 05/10/16 | | |
| 08/06/13 | (ICD-10 added) | |
| 10/15/12 | | |
| 08/27/12 | (Se añadieron Dx autorizados por la Dra. Hernández) | |
| 11/22/11 | (ICD-10 Added) | |
| 03/16/09 | iCES | |
| 01/28/08 | Created | New policy |