ICD 10 CM S06.306S | Description & Clinical Information

ICD 10 S06.306S describes a medical condition that results from a severe blow to the head, an assault, a fall, or injury during a motor vehicle collision, which leads to damage to a specific area of the brain and a possible alteration in the patient’s awareness and responsiveness to stimuli, and in this particular encounter, the provider does not specify the nature of the focal traumatic brain injury for a sequela, which is a condition that arises from the original injury to a patient who lost consciousness for more than 24 hours without returning to their usual level of consciousness, but with the patient surviving.

Official Description Of S06.306S

The ICD 10 CM book defines ICD 10 code S06.306S as:

Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
Parent Code Notes: S06.3

Excludes1: any condition classifiable to S06.4-S06.6

Excludes2: focal cerebral edema (S06.1)

Use additional code, if applicable, for traumatic brain compression or herniation (S06.A-)

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 S06.306S

The diagnosis describes by the ICD 10 CM code S06.306S refers to an unspecified focal traumatic brain injury. This condition can occur due to a wide variety of traumatic events, including falls, motor vehicle accidents, assaults, and sports-related injuries. The consequences of this type of injury can be severe and encompass a wide range of symptoms.

Unconsciousness is a common symptom of focal traumatic brain injury, and is often one of the first indicators that an individual has suffered a serious brain injury. Swelling of the brain is also common, and can cause pressure within the skull that can be life-threatening.

Bleeding is another possible consequence of focal traumatic brain injury. This can occur either within the brain itself or in other parts of the head, and can result in the formation of blood clots that can damage brain tissue or block blood flow to vital organs.

Headache is a common symptom of focal traumatic brain injury, and can range from mild to severe. Seizures may also occur, and can result in convulsions, loss of consciousness, and other serious complications.

Confusion is another potential symptom of focal traumatic brain injury, and can manifest as a loss of cognitive function or an inability to form coherent thoughts or speech. Physical and mental disability are also common, and can include partial or complete paralysis, loss of sensation or movement, and other impairments that may affect an individual’s ability to perform daily tasks or engage in social activities.

Impaired cognitive function is also common in individuals with focal traumatic brain injury, and can manifest as problems with memory, attention, or concentration. Depending on the affected site of injury, these symptoms may be mild or severe and can impact an individual’s ability to perform routine tasks, engage in social interactions, and maintain employment.

To diagnose focal traumatic brain injury, providers rely on a variety of methods, including the patient’s history of trauma and physical examination. The Glasgow Coma Scale is often used to evaluate an individual’s level of consciousness, while imaging techniques such as computed tomography and magnetic resonance imaging may be used to assess the extent of brain damage.

Evoked potentials are commonly used to evaluate the sensory pathways in the brain, while electroencephalography can evaluate brain activity. Using these techniques, providers can better determine the extent of brain damage and monitor the resolution or worsening of symptoms over time.

Treatment options for focal traumatic brain injury are wide and varied, and may include medications such as sedatives, analgesics, corticosteroids, and antiseizure drugs. Stabilization of the airway and circulation, immobilization of the neck or head, treatment of associated problems, and physical and occupational therapy may also be employed.

In summary, the ICD 10 CM S06.306S diagnosis code refers to an unspecified focal traumatic brain injury that can result in a range of symptoms, from headache and confusion to physical and mental disability. Providers rely on a variety of methods to diagnose this condition and may employ a wide range of treatment options, depending on the severity and extent of brain damage.

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