Subdural Hematoma ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Subdural Hematoma?

Subdural hematoma is the accumulation of blood between the dura mater and the arachnoid mater, often caused by head injuries. Proper coding of subdural hematomas is essential for accurate medical documentation and billing purposes. Here are some commonly used ICD-10-CM codes for subdural hematomas, along with brief clinical descriptions:

S06.5X1A - Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter - This code is used for cases where a subdural hemorrhage occurs due to trauma, resulting in a brief loss of consciousness.

S06.5X1D - Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, subsequent encounter - This code is used for subsequent encounters related to a subdural hemorrhage with a brief loss of consciousness within 30 minutes.

S06.5X9A - Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter - This code is used when a subdural hemorrhage occurs due to trauma, causing loss of consciousness of an unspecified duration.

S06.5X9D - Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, subsequent encounter - This code is used for subsequent encounters related to a subdural hemorrhage with an unspecified duration of loss of consciousness.

S06.5X0A - Traumatic subdural hemorrhage without loss of consciousness, initial encounter - This code is used when a subdural hemorrhage occurs due to trauma, but no consciousness is lost.

S06.5X0D - Traumatic subdural hemorrhage without loss of consciousness, subsequent encounter - This code is used for subsequent encounters related to a subdural hemorrhage without any loss of consciousness.

S06.5X2A - Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter - This code is used when a subdural hemorrhage occurs due to trauma, resulting in a loss of consciousness lasting between 31 to 59 minutes.

S06.5X2D - Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter - This code is used for subsequent encounters related to a subdural hemorrhage with a loss of consciousness lasting between 31 to 59 minutes.

S06.5X3A - Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter - This code is used when a subdural hemorrhage occurs due to trauma, resulting in a loss of consciousness lasting between 1 hour to 5 hours 59 minutes.

‍S06.5X3D - Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter - This code is used for subsequent encounters related to a subdural hemorrhage with a loss of consciousness lasting between 1 hour to 5 hours 59 minutes.

Which Subdural Hematoma ICD codes are Billable: 

S06.5X1A - Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter

Yes, this code is billable as it identifies a specific type of traumatic subdural hemorrhage with a defined duration of loss of consciousness, allowing for accurate billing and documentation.

S06.5X1D - Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, subsequent encounter

Yes, this code is billable for subsequent encounters related to a traumatic subdural hemorrhage with a loss of consciousness of 30 minutes or less, enabling appropriate billing and continuity of care.

S06.5X9A - Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter

Yes, this code is billable as it represents an initial encounter for a traumatic subdural hemorrhage with an unspecified duration of loss of consciousness, facilitating accurate billing and medical record keeping.

S06.5X9D - Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, subsequent encounter

Yes, this code is billable for subsequent encounters related to a traumatic subdural hemorrhage with an unspecified duration of loss of consciousness, ensuring proper billing and continuation of care.

S06.5X0A - Traumatic subdural hemorrhage without loss of consciousness, initial encounter

Yes, this code is billable as it identifies an initial encounter for a traumatic subdural hemorrhage without any loss of consciousness, allowing for accurate billing and documentation of the condition.

S06.5X0D - Traumatic subdural hemorrhage without loss of consciousness, subsequent encounter

Yes, this code is billable for subsequent encounters related to a traumatic subdural hemorrhage without any loss of consciousness, enabling appropriate billing and ongoing management of the patient.

S06.5X2A - Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter

Yes, this code is billable. It represents an initial encounter for a traumatic subdural hemorrhage with a specific duration of loss of consciousness (31 to 59 minutes), facilitating accurate billing and medical documentation.

S06.5X2D - Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter

Yes, this code is billable for subsequent encounters related to a traumatic subdural hemorrhage with a loss of consciousness lasting between 31 to 59 minutes, ensuring proper billing and continuity of care.

S06.5X3A - Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

Yes, this code is billable as it identifies an initial encounter for a traumatic subdural hemorrhage with a specific duration of loss of consciousness (1 hour to 5 hours 59 minutes), allowing for accurate billing and documentation of the condition.

‍S06.5X3D - Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
Yes, this code is billable for subsequent encounters related to a traumatic subdural hemorrhage with a loss of consciousness lasting between 1 hour to 5 hours 59 minutes, enabling appropriate billing and ongoing management of the patient.

Clinical Information

• Subdural hematoma is characterized by the accumulation of blood between the dura mater and the arachnoid mater, usually resulting from head trauma.
• It can occur due to various causes, including falls, motor vehicle accidents, assaults, or sports-related injuries.
• Subdural hematomas can be acute, subacute, or chronic, depending on the time elapsed since the initial injury.
• Symptoms may vary depending on the size and location of the hematoma but commonly include headaches, confusion, dizziness, nausea, vomiting, and neurological deficits.
• Diagnosis involves clinical assessment, imaging studies such as CT scans or MRI, and possibly lumbar puncture to evaluate for blood in the cerebrospinal fluid.
• Treatment options depend on the severity of the hematoma and may include observation, medication, surgical evacuation, or a combination of these approaches.
• Acute subdural hematomas often require immediate surgical intervention to remove the accumulated blood and relieve pressure on the brain.
• Subacute or chronic subdural hematomas may be managed conservatively initially, but surgical intervention may be necessary if symptoms worsen or neurological deficits develop.
• Prognosis varies depending on factors such as the size and location of the hematoma, the patient's age and overall health, and the timeliness of medical intervention.
• Complications can include brain herniation, seizures, cognitive impairments, motor deficits, and even death, particularly in delayed or inadequate treatment cases.

Synonyms Include:

• Intracranial hemorrhage
• Cranial bleeding
• Subdural bleed
• Intracranial hematoma
• Cranial hematoma