ICD Code S06.2X9D

ICD code S06.2X9D is diffuse traumatic brain injury with loss of consciousness of unspecified duration, subsequent encounter.

1. Patient has sustained a diffuse traumatic brain injury.

2. There is documented loss of consciousness, but the duration is unspecified.

3. The encounter is not the initial visit; it is a subsequent encounter for ongoing care or follow-up related to the injury.

4. Clinical evaluation supports the diagnosis of a traumatic brain injury with diffuse involvement.

5. Symptoms may include headache, confusion, memory loss, dizziness, nausea, or other neurological deficits consistent with diffuse brain injury.

6. No more specific code is applicable due to the unspecified duration of loss of consciousness.

Relevant CPT codes that may be used to treat ICD code S06.2X9D include:

- 99231–99233 (Subsequent hospital care, per day, for the evaluation and management of a patient)

- 99483 (Assessment and care planning for patients with cognitive impairment)

- 96116 (Neurobehavioral status exam)

- 97110 (Therapeutic exercises)

- 97112 (Neuromuscular reeducation)

- 97530 (Therapeutic activities)

- 99238–99239 (Hospital discharge day management)

- 99307–99310 (Subsequent nursing facility care)

- 99406–99409 (Behavior change interventions, individual)

- 99497 (Advance care planning)

CPT code selection should be based on the specific services rendered during the encounter for ICD code S06.2X9D.

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