ICD 10 CM S06.1X4A | Description & Clinical Information

ICD 10 S06.1X4A describes a condition where there is an accumulation of fluid within the cellular spaces of the brain, resulting from falls, motor vehicle accidents, or a blow to the head that affects brain function, leading to changes in the patient’s state of consciousness, level of awareness, and responsiveness to stimuli, and this code is used for an initial encounter for traumatic cerebral edema with loss of consciousness for 6 hours up to 24 hours.

Official Description Of S06.1X4A

The ICD 10 CM book defines ICD 10 code S06.1X4A as:

Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter
Parent Code Notes: S06

Includes: traumatic brain injury

Excludes1: head injury NOS (S09.90)

Code also: any associated:
open wound of head (S01.-)
skull fracture (S02.-)

Use additional code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)

When To Use S06.1X4A

The diagnosis described by the ICD-10-CM code S06.1X4A pertains to traumatic cerebral edema with loss of consciousness. This condition occurs due to a traumatic head injury, and it can result in increased intracranial pressure, headaches, seizures, nausea and vomiting, and blurred vision.

To diagnose this condition, healthcare providers typically begin by gathering the patient’s history and conducting a physical examination. The examination includes an assessment of the patient’s response to stimuli and their pupil dilation. Additionally, the healthcare provider will use the Glasgow Coma Scale to evaluate the patient’s level of consciousness.

Imaging techniques such as X-rays, computed tomography (CT) angiography, and magnetic resonance imaging (MRI) or MR angiography may also be employed to assess the extent of damage to the brain and monitor either resolution or decline. An electroencephalogram (EEG) may also be used to evaluate brain activity.

When it comes to treatment options for traumatic cerebral edema with loss of consciousness, healthcare providers will typically prescribe a combination of medications such as corticosteroids, analgesics, and antiseizure drugs to manage the various symptoms of this condition. Healthcare providers may also treat any associated problems, such as stabilizing the airway and circulation, immobilizing the neck or head, and addressing any surgical needs, such as implanting an ICP monitor or relieving ICP.

Medications such as corticosteroids work to reduce inflammation within the brain, thereby helping to alleviate symptoms associated with traumatic cerebral edema with loss of consciousness. Analgesics may be used to manage any pain associated with the condition, while antiseizure drugs can help to prevent the occurrence of seizures.

In some cases, surgical interventions may be necessary, such as implanting an ICP monitor. The ICP monitor can help healthcare providers to detect changes in intracranial pressure that may require additional interventions. If the pressure becomes too high, healthcare providers may need to perform a surgery to relieve it.

In conclusion, the ICD-10-CM code S06.1X4A represents a diagnosis of traumatic cerebral edema with loss of consciousness. Healthcare providers use various tools and techniques to diagnose and monitor this condition, and treatment options include a combination of medications, surgical interventions, and management of associated problems. With proper care, many recovery possibilities exist, although outcomes depend on the extent of the damage and the effectiveness of the treatment plan.

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