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ICD-10 Coding for Traumatic Intraparenchymal Hemorrhage(S06.3X0A, S06.3X1A)

Complete ICD-10-CM coding and documentation guide for Traumatic Intraparenchymal Hemorrhage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Traumatic Cerebral HemorrhageTraumatic Brain Hemorrhage

Related ICD-10 Code Ranges

Complete code families applicable to Traumatic Intraparenchymal Hemorrhage

S06.3Primary Range

Traumatic cerebral hemorrhage

This range includes codes for traumatic brain hemorrhages, distinguishing them from nontraumatic cases.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S06.3X0ATraumatic cerebral hemorrhage without loss of consciousness, initial encounterUse when there is a confirmed traumatic cerebral hemorrhage without any documented loss of consciousness.
  • CT or MRI confirming hemorrhage
  • Documentation of traumatic cause
S06.3X1ATraumatic cerebral hemorrhage with loss of consciousness of 30 minutes or less, initial encounterUse when there is a confirmed traumatic cerebral hemorrhage with documented LOC of 30 minutes or less.
  • CT or MRI confirming hemorrhage
  • Documentation of LOC duration

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for traumatic intraparenchymal hemorrhage

Essential facts and insights about Traumatic Intraparenchymal Hemorrhage

The ICD-10 code for traumatic intraparenchymal hemorrhage without loss of consciousness is S06.3X0A.

Primary ICD-10-CM Codes for intraparenchymal hemorrhage traumatic

Traumatic cerebral hemorrhage without loss of consciousness, initial encounter
Non-billable Code

Decision Criteria

clinical Criteria

  • Confirmed traumatic cause without LOC

Applicable To

  • Traumatic brain hemorrhage without LOC

Excludes

  • Nontraumatic cerebral hemorrhage (I61.-)

Clinical Validation Requirements

  • CT or MRI confirming hemorrhage
  • Documentation of traumatic cause

Code-Specific Risks

  • Misclassification as nontraumatic

Coding Notes

  • Ensure documentation explicitly states the traumatic nature of the hemorrhage.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

External causes of falls

W00-W19
Use to specify the cause of the traumatic event.

Blood alcohol testing

Z04.41
Use when intoxication is suspected in trauma cases.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Nontraumatic intracerebral hemorrhage, unspecified

I61.9
Use I61.9 for nontraumatic cases; ensure trauma is documented for S06.3X0A.

Traumatic cerebral hemorrhage with unspecified LOC, initial encounter

S06.3X9A
Use S06.3X9A when LOC duration is not specified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Traumatic Intraparenchymal Hemorrhage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S06.3X0A.

Impact

Clinical: Incomplete clinical picture of the trauma event., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement for trauma-related care.

Mitigation Strategy

Always include external cause codes for trauma cases., Review coding guidelines for trauma documentation.

Impact

Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use S06 codes for traumatic hemorrhages.

Impact

Inadequate documentation of the traumatic cause can lead to audit issues.

Mitigation Strategy

Ensure all trauma cases have a documented mechanism of injury.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Traumatic Intraparenchymal Hemorrhage, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Traumatic Intraparenchymal Hemorrhage

Use these documentation templates to ensure complete and accurate documentation for Traumatic Intraparenchymal Hemorrhage. These templates include all required elements for proper coding and billing.

Emergency Department Admission

Specialty: Emergency Medicine

Required Elements

  • Mechanism of injury
  • Imaging findings
  • Neurological status

Example Documentation

Patient presented with a 3 cm right frontal hemorrhage due to a fall, confirmed by CT. GCS 14 on arrival.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Brain bleed noted.
Good Documentation Example
3.5 cm left parietal hemorrhage secondary to ground-level fall with 2-min LOC, GCS 14, NIHSS 6.
Explanation
The good example provides specific details about the hemorrhage, mechanism, and clinical status.

Need help with ICD-10 coding for Traumatic Intraparenchymal Hemorrhage? Ask your questions below.

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