Brain injury, diffuse (TBI), injury/trauma

{{#set:Has ICD10OldArticleLink=Diffuse axonal injury}}

ICD10 Diagnosis
Dx:	Has ICD10Dx::Brain injury, diffuse (TBI), injury/trauma
ICD10 code:	S06.2
Pre-ICD10 counterpart:	?Has ICD10OldArticleLink}}
Charlson/ALERT Scale:	{{#ask: -Has subobject::Charlson Comorbidities in ICD10 codes Charlson_ICD10Description::Brain injury, diffuse (TBI), injury/trauma	?Charlson_component=	format=list	mainlabel=- }}
APACHE Como Component:	{{#ask: -Has subobject::APACHE Comorbidities in ICD10 codesAPACHE_ICD10Description::Brain injury, diffuse (TBI), injury/trauma	?APACHE_component=	format=list	mainlabel=- }}
APACHE Acute Component:	{{#ask: -Has subobject::APACHE Acute Dxs in ICD10 codesAPACHE_ICD10Description::Brain injury, diffuse (TBI), injury/trauma	?APACHE_component=2019-0	format=list	mainlabel=- }}
Start Date:
Stop Date:
Data Dependencies(Reports/Indicators/Data Elements):	No results
External ICD10 Documentation	Brain injury, diffuse (TBI), injury/trauma| ?Has ICD10Code | link =No corresponding old article}} ICD-10 CM Wikipedia Brain injury, diffuse (TBI), injury/trauma| ?Has ICD10Code | link =No corresponding old article}} ICD-10 Wikipedia Brain injury, diffuse (TBI), injury/trauma| ?Has ICD10Code | link =No corresponding old article}} WHO ICD10 documentation Brain injury, diffuse (TBI), injury/trauma| ?Has ICD10Code | link =No corresponding old article}} ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • Has StartDate::2019-01-01
  • Has StopDate::2999-12-31
  • Has ICD10Code::S06.2

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• Categories

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  • {{#set: Has_ICD10Category=Category:Neuro }}
  • {{#set: Has_ICD10exportCat={{#show:Brain injury, diffuse (TBI), injury/trauma|?Has ICD10Code}};Neuro }}

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• Categories

• SMW
  • {{#set: Has_ICD10Category=Category:Trauma }}
  • {{#set: Has_ICD10exportCat={{#show:Brain injury, diffuse (TBI), injury/trauma|?Has ICD10Code}};Trauma }}

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• Categories

• SMW
  • {{#set: Has_ICD10Category=Category:Head trauma }}
  • {{#set: Has_ICD10exportCat={{#show:Brain injury, diffuse (TBI), injury/trauma|?Has ICD10Code}};Head trauma }}

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• Categories

Additional Info

Includes:

• diffuse traumatic brain injury (TBI)
• herniation related to the TBI
• diffuse axonal injury (DAI)
• anoxic brain injury due to hanging
  • Shearing mechanisms lead to DAI, which is visualized pathologically and on neuroimaging studies as multiple small lesions seen within white matter tracts . Patients with severe DAI typically present with profound coma without elevated intracranial pressure (ICP), and often have poor outcome.

Herniation

This dx includes herniation related to the TBI. For non-traumatically induced herniation, use Brain compression, including herniation instead.

As a Comorbid Diagnosis

To code a TBI as a comorbid code use Brain/intracranial injury NOS, injury/trauma.

Causes of TBI

The six categories of external force that may result in TBI include:

• The head being struck by an object
• The head striking an object
• Acceleration/deceleration of the brain without direct external impact
• A foreign body penetrating the brain
• The force from a blast/explosion
• Other forces yet to be defined

Alternate ICD10s to consider coding instead or in addition

Head trauma codes:
{{#ask: Has ICD10Category::Category:Head trauma !:Brain injury, diffuse (TBI), injury/trauma[[Has StopDate::>6 April 2026]]	format=ul	link=all	limit=100	headers=show	class=sortable wikitable smwtable}}

• Brain death
• Anoxic brain injury, NOS

Candidate Combined ICD10 codes

Traumas and their Mechanisms

• In ICD10, traumas need to be combined with separate mechanism codes to fully explain the situation.

• Here are lists of the codes for "mechanical" injuries to various body parts:
  • some codes are always traumatic and always need a mechanism:

Trauma codes:
{{#ask: Has ICD10Category::Category:Trauma !:Brain injury, diffuse (TBI), injury/trauma[[Has StopDate::>6 April 2026]]	format=ul	link=all	limit=100	headers=show	class=sortable wikitable smwtable}}

• Other codes may or may not be of a traumatic nature; these also qualify to be coded with trauma mechanisms listed below:

Potential trauma codes:
{{#ask: Has ICD10Category::Category:Potential trauma !:Brain injury, diffuse (TBI), injury/trauma[[Has StopDate::>6 April 2026]]	format=ul	link=all	limit=100	headers=show	class=sortable wikitable smwtable}}

• Here is a list of the external mechanism or agent that caused the trauma:

Mechanism codes:
{{#ask: Has ICD10Category::Category:Mechanism !:Brain injury, diffuse (TBI), injury/trauma[[Has StopDate::>6 April 2026]]	format=ul	link=all	limit=100	headers=show	class=sortable wikitable smwtable}}

Regarding Multiple Trauma

• When a person has multiple body areas traumatized, code Multiple trauma
• When using Multiple trauma also code the individual things traumatized, e.g. leg, arm, head, etc.
• Code Multiple trauma and all the individual things traumatized as Combined ICD10 codes
  • And in this case, assuming that they all have the same mechanism of injury (e.g. Mechanism of injury: motorcyclist), then you'd also code that Mechanism code as the same Combined ICD10 codes.
• If the multiple trauma is the primary admit diagnosis, then among this group of linked ICD10 codes, the Primary Admit Diagnosis would be either the Multiple trauma or the "worst" thing injured, e.g. Brain injury, diffuse (TBI), injury/trauma

Iatrogenic injuries

• Some iatrogenic codes are self-explanatory for what occurred. For example Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection. But for others, such as Iatrogenic, puncture or laceration, related to a procedure or surgery NOS it's not clear what happened, i.e. what was iatrogenically injured.
  • In these latter cases, with just one exception, DO NOT also code a trauma code for what was iatrogenically injured. This is because iatrogenic injuries are technically not considered to be traumas.
    • that one exception is you should code Rib fracture(s) due to CPR in the context of CPR, cardiac resuscitation.
  • Instead, combine the iatrogenic code with another ICD10 code indicating the body part involved.
    • e.g. for iatrogenic laceration of a pulmonary artery, combine: Iatrogenic, puncture or laceration, related to a procedure or surgery NOS with Disorder of pulmonary vessels, NOS. See list of NOS codes in ICD10.

Related CCI Codes

Data Integrity Checks (automatic list)

{{#ask: DICRelatedConcepts::Brain injury, diffuse (TBI), injury/trauma |?DICApp = App |?DICStatus = Status |sort=DICApp, DICStatus |default=none found |format=broadtable |limit=100}}

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