Brain injury, diffuse (TBI), injury/trauma

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ICD10 Diagnosis
Dx: Brain injury, diffuse (TBI), injury/trauma
ICD10 code: S06.2
Pre-ICD10 counterpart: Diffuse axonal injury
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: 2019-0: Head Trauma
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • S06.2
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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:

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:
... further results
  • 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:
  • Here is a list of the external mechanism or agent that caused the trauma:
Mechanism codes:

Regarding Multiple Trauma

Iatrogenic injuries

Related CCI Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 mechanism vs traumaCCMDB.accdbimplemented

Related Articles

Related articles:


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