ICD 10 CM S06.823 | Description & Clinical Information

ICD 10 S06.823 describes a medical condition characterized by a tear or separation of the tissue layers of the carotid artery walls inside the skull due to blunt trauma, hyperextension of the neck, or some medical conditions that can affect brain function, resulting in a possible change in the state of consciousness or level of awareness and responsiveness, and represents an injury to the intracranial portion of the left internal carotid artery not specifically named under any codes in category S06, with loss of consciousness for 1 hour to 5 hours 59 minutes.

Official Description Of S06.823

The ICD 10 CM book defines ICD 10 code S06.823 as:

Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes
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 S06.823

The diagnosis describes by the ICD-10-CM S06.823 code refers to patients who have suffered an injury of the intracranial part of the left internal carotid artery. This is a serious medical condition that can result in physical, cognitive and neurological deficits, including unconsciousness, increased intracranial pressure or ICP, progressively worsening headache, weakness on one side of the body due to stroke, temporary loss of vision, and impaired mental capacity.

Health care providers use a combination of medical history and physical examination to diagnose this type of injury in patients. During the physical examination, the provider will assess the patient’s response to stimuli and pupil dilation. Imaging techniques such as computed tomographic angiography, magnetic resonance angiography, and Doppler ultrasonography can also help confirm the diagnosis.

The severity of the injury will determine the type of treatment prescribed to the patient. In some cases, medication such as anticoagulant and antiplatelet drugs, corticosteroids, and analgesics may be prescribed to manage symptoms or reduce the risk of blood clots. Treatment may also include addressing associated problems, such as migraines or blood pressure, which could worsen the condition.

In more severe cases, surgical interventions may be necessary. The surgeon may repair the torn artery or place a stent to help open and restore blood flow in the impacted area. These interventions are usually reserved for patients who have suffered a stroke, as prompt treatment can greatly improve outcomes for these patients.

Prevention is key to avoiding intracranial injuries such as those described by the ICD-10-CM S06.823. Leading a healthy lifestyle, managing risk factors such as high blood pressure or cholesterol, and avoiding high-impact activities that could result in head injuries can all help reduce the risk of these serious medical conditions.

In conclusion, the ICD-10-CM S06.823 diagnosis code indicates a severe injury to the intracranial portion of the left internal carotid artery that can lead to serious physical, cognitive and neurological deficits. A combination of medical history, physical examination and imaging techniques can help confirm the diagnosis, while treatment options range from medication and addressing associated problems to surgical intervention in more severe cases. Prevention is key to avoiding these serious medical conditions, making it essential to manage risk factors and lead a healthy lifestyle.

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