85: CONCUSSION

CONDITION/DISORDER SYNONYMS

• Mild traumatic brain injury (mTBI)

• Post-concussion syndrome (PCS)

• Second impact syndrome

• Sport-related concussion

ICD-9-CM CODES

• 850 Concussion

• 850.0 With no loss of consciousness

• 850.11 With brief loss of consciousness (less than 30 minutes)

• 850.12 With brief loss of consciousness (31 to 59 minutes)

• 850.2 With moderate loss of consciousness (1 to 24 hours)

• 850.3 With prolonged loss of consciousness and return to pre-existing consciousness level (24 hours + with full recovery)

• 850.4 With prolonged loss of consciousness, without return to pre-existing consciousness level

• 850.5 Loss of consciousness of unspecified duration

• 850.9 Concussion unspecified

ICD-10-CM CODES

• S06.0 Concussion

• S06.0X0A Without loss of consciousness, initial encounter

• S06.0X0D Without loss of consciousness, subsequent encounter

• S06.0X0S Without loss of consciousness, sequela

• S06.0X1 Concussion with loss of consciousness of 30 minutes or less

• S06.0X2 Concussion with loss of consciousness of 31 minutes to 59 minutes

• S06.0X3 Concussion with loss of consciousness of 1 hour to 5 hours 59 minutes

• S06.0X4 Concussion with loss of consciousness of 6 hours to 24 hours, initial encounter

• S06.0X5 Concussion with loss of consciousness greater than 24 hours with return to pre existing conscious level

• S06.0X6 Concussion with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving

• S06.0X7 Concussion with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness

• S06.0X8 Concussion with loss of consciousness of any duration with death due to other cause prior to regaining consciousness

• S06.0X9 Concussion with loss of consciousness of unspecified duration

PREFERRED PRACTICE PATTERNS

• 5C: Impaired Motor Function and Sensory Integrity Associated with Nonprogressive Disorders of the Central Nervous System—congenital origin or acquired in infancy or childhood¹

• 5D: Impaired Motor Function and Sensory Integrity Associated with Nonprogressive Disorders of the Central Nervous System—acquired in adolescence or adulthood²

• 5I: Impaired Arousal, Range of Motion, and Motor Control Associated with Coma, Near Coma, or Vegetative State³