Diffuse TBI with LOC status unknown, initial encounter

Diffuse traumatic brain injury with loss of consciousness status unknown, initial encounter

📋Clinical Description

This code signifies a widespread injury to the brain resulting from trauma, where the duration of the patient's loss of consciousness is not documented. It indicates that the patient is receiving active treatment for this acute brain injury.

🎯When to Use

Apply this code when documentation confirms a diffuse traumatic brain injury and the patient experienced a loss of consciousness, but the specific duration (e.g., less than 30 minutes, 30 minutes to 24 hours) is not specified. This code is appropriate for the initial visit or encounter for this injury.

💡Coding Tips

Ensure documentation explicitly states "diffuse" TBI and "loss of consciousness" without a specified duration.
Do not use if the duration of loss of consciousness is known; instead, select a more specific code from the S06.2- series.
This code is only for the initial encounter; subsequent care for the same injury will require a different encounter character.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S06.2XADiffuse TBI with loss of consciousness status unknown

S06.2XAA(current)

Same Category

S06Intracranial injury S06.0Concussion S06.0XConcussion S06.0X0Concussion without loss of consciousness S06.0X0AConcussion without loss of consciousness, initial encounter S06.0X0DConcussion without loss of consciousness, subs encntr