S06.38 Contusion, laceration, and hemorrhage of brainstem

Non-billable header with 11 child codes.

Applies from S06 Intracranial injury

Includes

• traumatic brain injury

Excludes1 (never code together)

• head injury NOS (S09.90)

Use additional code

• code, if applicable, to identify mild neurocognitive disorders due to known physiological condition (F06.7-)

Code also

• any associated:
• open wound of head (S01.-)
• skull fracture (S02.-)

7th character note

• The appropriate 7th character is to be added to each code from category S06, except as noted below

Notes

• 7th characters D and S do not apply to codes in category S06 with 6th character 7 - death due to brain injury prior to regaining consciousness, or 8 - death due to other cause prior to regaining consciousness.

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Applies from S06.3 Focal traumatic brain injury

Excludes2 (not included here)

• any condition classifiable to S06.4-S06.6
• focal cerebral edema (S06.1)

Use additional code

• code, if applicable, for traumatic brain compression or herniation (S06.A-)

Codes under S06.38

• S06.380 Contusion, laceration, and hemorrhage of brainstem without loss of consciousness
• S06.381 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less
• S06.382 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes
• S06.383 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes
• S06.384 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours
• S06.385 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level
• S06.386 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving
• S06.387 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness
• S06.388 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to other cause prior to regaining consciousness
• S06.38A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown
• S06.389 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration

Code annotations containing back-references to S06.38

Back-references to S06.3

• Type 1 Excludes: S00 Superficial injury of head ("focal cerebral contusion (S06.3-)")
• Code Also: S06.8A Primary blast injury of brain, not elsewhere classified (", if applicable, focal traumatic brain injury (S06.3-)")
• Code First: S06.A Traumatic brain compression and herniation ("focal traumatic brain injury (S06.3-)")

Back-references to S06

• Code First: F02 Dementia in other diseases classified elsewhere ("traumatic brain injury (S06.-)")
• Code First: F06.7 Mild neurocognitive disorder due to known physiological condition ("traumatic brain injury (S06.-)")
• Code First: F48.2 Pseudobulbar affect ("sequelae of traumatic intracranial injury (S06.-)")
• Type 1 Excludes: G31.84 Mild cognitive impairment of uncertain or unknown etiology ("cognitive impairment due to intracranial or head injury (S06.-)")
• Code Also: G96.00 Cerebrospinal fluid leak, unspecified ("head injury (S00-S09)")
• Code Also: G96.08 Other cranial cerebrospinal fluid leak ("head injury (S00 - S09)")
• Code Also: G96.09 Other spinal cerebrospinal fluid leak ("head injury (S00 - S09)")
• Type 1 Excludes: I69 Sequelae of cerebrovascular disease ("sequelae of traumatic intracranial injury (S06.-)")
• Type 1 Excludes: I69.8 Sequelae of other cerebrovascular diseases ("sequelae of traumatic intracranial injury (S06.-)")
• Type 1 Excludes: I69.9 Sequelae of unspecified cerebrovascular diseases ("sequelae of traumatic intracranial injury (S06.-)")
• Type 1 Excludes: P52 Intracranial nontraumatic hemorrhage of newborn ("intracranial hemorrhage due to other injury (S06.-)")
• Code First: R40.2 Coma ("intracranial injury (S06.-)")
• Code Also: S01 Open wound of head ("intracranial injury (S06.-)")
• Code Also: S02 Fracture of skull and facial bones ("any associated intracranial injury (S06.-)")
• Code First: S04 Injury of cranial nerve ("any associated intracranial injury (S06.-)")
• Use Additional: S07 Crushing injury of head ("intracranial injuries (S06.-)")
• Type 1 Excludes: S09.0 Injury of blood vessels of head, not elsewhere classified ("injury of cerebral blood vessels (S06.-)")

Diagnosis Index entries for S06.38

• Contusion (skin surface intact) › brainstem
• Hemorrhage, hemorrhagic (concealed) › brainstem (nontraumatic) › traumatic
• Injury › brainstem
• Laceration › brainstem

Nearby codes

• S06.37AS Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown, sequela
• S06.379 Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration
• S06.379A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, initial encounter
• S06.379D Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, subsequent encounter
• S06.379S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, sequela
• S06.38 Contusion, laceration, and hemorrhage of brainstem (this code)
• S06.380 Contusion, laceration, and hemorrhage of brainstem without loss of consciousness
• S06.380A Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter
• S06.380D Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, subsequent encounter
• S06.380S Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, sequela
• S06.381 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less