ICD 10 CM S06.313D | Description & Clinical Information

ICD 10 S06.313D describes a specific medical condition characterized by the presence of blood accumulation and a tear in the tissue of the right cerebrum, which is the largest part of the brain, resulting from a traumatic brain injury or a deceleration injury, such as when the head comes into contact with a solid object during a motor vehicle collision, and can lead to altered awareness and responsiveness to stimuli, and is applicable to a subsequent encounter for contusion and laceration with loss of consciousness for 1 hour to 5 hours 59 minutes.

Official Description Of S06.313D

The ICD 10 CM book defines ICD 10 code S06.313D as:

Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
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 S06.313D

The diagnosis code ICD 10 CM S06.313D refers to a medical condition caused by a traumatic brain injury. This particular diagnosis indicates contusion and laceration of the right cerebrum, which can result in a variety of symptoms and complications.

Patients with this diagnosis may experience unconsciousness, seizures, nausea, and vomiting. In addition, they may have increased intracranial pressure or ICP, which can lead to headaches, temporary or permanent amnesia, physical and mental disability, impaired cognitive function, and difficulty communicating once they regain consciousness.

When medical professionals encounter a patient with symptoms that suggest a traumatic brain injury, they will undergo a thorough evaluation. The diagnosis of ICD 10 CM S06.313D typically begins with a complete medical history, including any history of trauma. A physical examination with specific attention to response to stimuli and pupil dilation is also important.

Medical professionals may use a Glasgow coma scale to rate the severity of the injury, as well as various imaging techniques to identify and monitor the hemorrhage, such as computed tomography or CT angiography and magnetic resonance imaging or MR angiography. An electroencephalogram may be used to evaluate brain activity.

Due to the severity of this diagnosis, there is often a range of treatments offered to help manage symptoms and prevent further damage. Medications such as sedatives, antiseizure drugs, and analgesics may be used to help alleviate symptoms. Stabilization of the airway and circulation may be necessary, as well as immobilization of the neck or head to prevent further injury.

In addition, medical professionals may treat associated problems, and in some cases, surgery may be necessary. For example, an ICP monitor may be implanted to help monitor intracranial pressure, or a hematoma may need to be evacuated.

Overall, the diagnosis of ICD 10 CM S06.313D is a serious one, requiring careful and thorough evaluation to help minimize the long-term effects of the injury. Medical professionals must work closely with their patients to develop a comprehensive treatment plan that addresses their individual needs and ensures the best possible outcome.

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