ICD-10 S06.1XA
Non-Billable HeaderTraumatic cerebral edema with loss of consciousness status unknown
About ICD-10-CM S06.1XA
ICD-10-CM code S06.1XA represents Traumatic cerebral edema with loss of consciousness status unknown. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S06). The 2026 edition of ICD-10-CM S06.1XA became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for S06.1XA
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under S06.1XA. Per CMS ICD-10-CM Tabular 2026.
- Traumatic cerebral edema NOS
Medicare LCD Coverage for S06.1XA
Local Coverage Determinations (LCDs) from CMS MACs that list S06.1XA as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing S06.1XA.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but S06.1XA doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with S06.1XA
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To S06.1XA
Other codes in section S00-S09 (Injuries to the head).
ICD-10 S06.1XA, Billing FAQ
Is ICD-10 code S06.1XA billable? +
No, S06.1XA is a non-billable header code. Use a more specific child code from block S06 when submitting claims.
What other names or terms map to S06.1XA? +
ICD-10 S06.1XA includes: Traumatic cerebral edema NOS.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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