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Table 1 [=IMG1]: ICD‐9‐CM Code to Identify CT Neuroimaging in Administrative Claims with ICD‐10‐CM Conversion
Imaging Modality ICD‐9‐CM Codes ICD‐10‐CM Codes
Computerized Tomography (CT) of Brain/Head 87.03 B02000Z, B0200ZZ, B02010Z, B0201ZZ, B020Y0Z, B020YZZ, B020ZZZ
Magnetic Resonance Imaging (MRI) of Brain/Head 88.91 B020Y0Z, B030YZZ, B030ZZZ
Table 2 [=IMG2]: ICD‐9‐CM Codes to Identify Epilepsy/Recurrent Seizures in Administrative Claims with ICD‐10‐CM Code Conversion
Epilepsy/Recurrent Seizure ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Generalized nonconvulsive epilepsy, without mention of intractable epilepsy 34500 G40A09
Absence epileptic syndrome, not intractable, w/o stat epi
Generalized nonconvulsive epilepsy, without mention of intractable epilepsy 34500 G40A01
Absence epileptic syndrome, not intractable, w stat epi
Generalized nonconvulsive epilepsy, with intractable epilepsy 34501 G40A19
Absence epileptic syndrome, intractable, w/o stat epi
Generalized nonconvulsive epilepsy, with intractable epilepsy 34501 G40A11
Absence epileptic syndrome, intractable, w stat epi
Generalized nonconvulsive epilepsy, with intractable epilepsy 34501 G40A11
Absence epileptic syndrome, intractable, w stat epi
Generalized nonconvulsive epilepsy, without mention of intractable epilepsy 34500 G40A01
Absence epileptic syndrome, not intractable, w stat epi
Generalized nonconvulsive epilepsy, with intractable epilepsy 34501 G40A19
Absence epileptic syndrome, intractable, w/o stat epi
Generalized nonconvulsive epilepsy, without mention of intractable epilepsy 34500 G40A09
Absence epileptic syndrome, not intractable, w/o stat epi
Generalized convulsive epilepsy, without mention of intractable epilepsy 34510 G40401
Oth generalized epilepsy, not intractable, w stat epi
Generalized convulsive epilepsy, with intractable epilepsy 34511 G40419
Oth generalized epilepsy, intractable, w/o stat epi
Generalized convulsive epilepsy, with intractable epilepsy 34511 G40311
Generalized idiopathic epilepsy, intractable, w stat epi
Generalized convulsive epilepsy, with intractable epilepsy 34511 G40411
Oth generalized epilepsy, intractable, w status epilepticus
Generalized convulsive epilepsy, without mention of intractable epilepsy 34510 G40409
Oth generalized epilepsy, not intractable, w/o stat epi
Generalized convulsive epilepsy, without mention of intractable epilepsy 34510 G40309
Gen idiopathic epilepsy, not intractable, w/o stat epi
Generalized convulsive epilepsy, with intractable epilepsy 34511 G40311
Generalized idiopathic epilepsy, intractable, w stat epi
Petit mal status 3452 G40A19 Absence epileptic syndrome, intractable, w/o stat epi
Petit mal status 3452 G40A11 Absence epileptic syndrome, intractable, w stat epi
Petit mal status 3452 G40A11 Absence epileptic syndrome, intractable, w stat epi
Petit mal status 3452 G40A01 Absence epileptic syndrome, not intractable, w stat epi
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 1 Submitted January 2016
Epilepsy/Recurrent Seizure ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Petit mal status 3452 G40A09 Absence epileptic syndrome, not intractable, w/o stat epi
Petit mal status 3452 G40A01 Absence epileptic syndrome, not intractable, w stat epi
Petit mal status 3452 G40A09 Absence epileptic syndrome, not intractable, w/o stat epi
Petit mal status 3452 G40A19 Absence epileptic syndrome, intractable, w/o stat epi
Grand mal status 3453 G40301 Gen idiopathic epilepsy, not intractable, w stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, without mention of intractable epilepsy 34540 G40209
Local‐rel symptc epi w cmplx prt seiz,not ntrct,w/o stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, with intractable epilepsy 34541 G40219
Local‐rel symptc epi w cmplx part seiz, ntrct, w/o stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, without mention of intractable epilepsy 34540 G40201
Local‐rel symptc epi w cmplx prt seiz, not ntrct, w stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, with intractable epilepsy 34541 G40211
Local‐rel symptc epi w cmplx partial seiz, ntrct, w stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, with intractable epilepsy 34551 G40119
Local‐rel symptc epi w simple part seiz, ntrct, w/o stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, with intractable epilepsy 34551 G40111
Local‐rel symptc epi w simple part seiz, ntrct, w stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, with intractable epilepsy 34551 G40111
Local‐rel symptc epi w simple part seiz, ntrct, w stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy 34550 G40109
Local‐rel symptc epi w simp prt seiz,not ntrct, w/o stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy 34550 G40101
Local‐rel symptc epi w simp part seiz, not ntrct, w stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy 34550 G40109
Local‐rel symptc epi w simp prt seiz,not ntrct, w/o stat epi
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 2 Submitted January 2016
Epilepsy/Recurrent Seizure ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy 34550 G40109
Local‐rel symptc epi w simp prt seiz,not ntrct, w/o stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy 34550 G40101
Local‐rel symptc epi w simp part seiz, not ntrct, w stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy 34550 G40101
Local‐rel symptc epi w simp part seiz, not ntrct, w stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, with intractable epilepsy 34551 G40111
Local‐rel symptc epi w simple part seiz, ntrct, w stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, with intractable epilepsy 34551 G40119
Local‐rel symptc epi w simple part seiz, ntrct, w/o stat epi
Localization‐related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, with intractable epilepsy 34551 G40119
Local‐rel symptc epi w simple part seiz, ntrct, w/o stat epi
Infantile spasms, with intractable epilepsy 34561 G40824
Epileptic spasms, intractable, without status epilepticus
Infantile spasms, without mention of intractable epilepsy 34560 G40821
Epileptic spasms, not intractable, with status epilepticus
Infantile spasms, without mention of intractable epilepsy 34560 G40822
Epileptic spasms, not intractable, w/o status epilepticus
Infantile spasms, with intractable epilepsy 34561 G40823
Epileptic spasms, intractable, with status epilepticus
Epilepsia partialis continua, with intractable epilepsy 34571 G40111
Local‐rel symptc epi w simple part seiz, ntrct, w stat epi
Epilepsia partialis continua, without mention of intractable epilepsy 34570 G40109
Local‐rel symptc epi w simp prt seiz,not ntrct, w/o stat epi
Epilepsia partialis continua, with intractable epilepsy 34571 G40111
Local‐rel symptc epi w simple part seiz, ntrct, w stat epi
Epilepsia partialis continua, without mention of intractable epilepsy 34570 G40109
Local‐rel symptc epi w simp prt seiz,not ntrct, w/o stat epi
Epilepsia partialis continua, without mention of intractable epilepsy 34570 G40101
Local‐rel symptc epi w simp part seiz, not ntrct, w stat epi
Epilepsia partialis continua, with intractable epilepsy 34571 G40119
Local‐rel symptc epi w simple part seiz, ntrct, w/o stat epi
Epilepsia partialis continua, without mention of intractable epilepsy 34570 G40101
Local‐rel symptc epi w simp part seiz, not ntrct, w stat epi
Epilepsia partialis continua, with intractable epilepsy 34571 G40119
Local‐rel symptc epi w simple part seiz, ntrct, w/o stat epi
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 3 Submitted January 2016
Epilepsy/Recurrent Seizure ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Epilepsia partialis continua, without mention of intractable epilepsy 34570 G40109
Local‐rel symptc epi w simp prt seiz,not ntrct, w/o stat epi
Epilepsia partialis continua, with intractable epilepsy 34571 G40119
Local‐rel symptc epi w simple part seiz, ntrct, w/o stat epi
Epilepsia partialis continua, without mention of intractable epilepsy 34570 G40101
Local‐rel symptc epi w simp part seiz, not ntrct, w stat epi
Epilepsia partialis continua, with intractable epilepsy 34571 G40111
Local‐rel symptc epi w simple part seiz, ntrct, w stat epi
Other forms of epilepsy and recurrent seizures, without mention of intractable epilepsy 34580 G40101
Local‐rel symptc epi w simp part seiz, not ntrct, w stat epi
Other forms of epilepsy and recurrent seizures, with intractable epilepsy 34581 G40119
Local‐rel symptc epi w simple part seiz, ntrct, w/o stat epi
Other forms of epilepsy and recurrent seizures, with intractable epilepsy 34581 G40111
Local‐rel symptc epi w simple part seiz, ntrct, w stat epi
Table 3 [=IMG8]: ICD‐9‐CM Codes to Identify Vascular Disease in Administrative Claims with ICD‐10‐CM Code Conversion
Vascular Disease ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Hemangioma of unspecified site 22800 D1800 Hemangioma unspecified site
Phlebitis and thrombophlebitis of intracranial venous sinuses 325 G08
Intracranial and intraspinal phlebitis and thrombophlebitis
Occlusion and stenosis of basilar artery without mention of cerebral infarction 43300 I651
Occlusion and stenosis of basilar artery
Occlusion and stenosis of basilar artery with cerebral infarction 43301 I6322
Cerebral infrc due to unsp occls or stenosis of basilar art
Occlusion and stenosis of carotid artery with cerebral infarction 43311 I63239
Cereb infrc due to unsp occls or stenos of unsp carotid art
Occlusion and stenosis of carotid artery without mention of cerebral infarction 43310 I6529
Occlusion and stenosis of unspecified carotid artery
Occlusion and stenosis of carotid artery with cerebral infarction 43311 I63139
Cerebral infarction due to embolism of unsp carotid artery
Occlusion and stenosis of vertebral artery with cerebral infarction 43321 I63119
Cerebral infarction due to embolism of unsp vertebral artery
Occlusion and stenosis of vertebral artery with cerebral infarction 43321 I63019
Cerebral infarction due to thombos unsp vertebral artery
Occlusion and stenosis of vertebral artery without mention of cerebral infarction 43320 I6509
Occlusion and stenosis of unspecified vertebral artery
Occlusion and stenosis of vertebral artery with cerebral infarction 43321 I63219
Cereb infrc due to unsp occls or stenosis of unsp verteb art
Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction 43331 I6359
Cereb infrc due to unsp occls or stenosis of cerebral artery
Occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction 43330 I658
Occlusion and stenosis of other precerebral arteries
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 4 Submitted January 2016
Vascular Disease ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction 43331 I6359
Cereb infrc due to unsp occls or stenosis of cerebral artery
Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction 43331 I6359
Cereb infrc due to unsp occls or stenosis of cerebral artery
Occlusion and stenosis of other specified precerebral artery with cerebral infarction 43381 I6359
Cereb infrc due to unsp occls or stenosis of cerebral artery
Occlusion and stenosis of other specified precerebral artery without mention of cerebral infarction 43380 I658
Occlusion and stenosis of other precerebral arteries
Occlusion and stenosis of other specified precerebral artery with cerebral infarction 43381 I6359
Cereb infrc due to unsp occls or stenosis of cerebral artery
Occlusion and stenosis of other specified precerebral artery with cerebral infarction 43381 I6359
Cereb infrc due to unsp occls or stenosis of cerebral artery
Occlusion and stenosis of unspecified precerebral artery with cerebral infarction 43391 I6320
Cereb infrc due to unsp occls or stenos of unsp precerb art
Occlusion and stenosis of unspecified precerebral artery without mention of cerebral infarction 43390 I659
Occlusion and stenosis of unspecified precerebral artery
Cerebral thrombosis without mention of cerebral infarction 43400 I6619
Occlusion and stenosis of unsp anterior cerebral artery
Cerebral thrombosis without mention of cerebral infarction 43400 I6629
Occlusion and stenosis of unsp posterior cerebral artery
Cerebral thrombosis with cerebral infarction 43401 I6330
Cerebral infarction due to thombos unsp cerebral artery
Cerebral thrombosis without mention of cerebral infarction 43400 I6629
Occlusion and stenosis of unsp posterior cerebral artery
Cerebral thrombosis without mention of cerebral infarction 43400 I6609
Occlusion and stenosis of unspecified middle cerebral artery
Cerebral thrombosis without mention of cerebral infarction 43400 I6609
Occlusion and stenosis of unspecified middle cerebral artery
Cerebral thrombosis without mention of cerebral infarction 43400 I6609
Occlusion and stenosis of unspecified middle cerebral artery
Cerebral thrombosis without mention of cerebral infarction 43400 I6619
Occlusion and stenosis of unsp anterior cerebral artery
Cerebral thrombosis without mention of cerebral infarction 43400 I6629
Occlusion and stenosis of unsp posterior cerebral artery
Cerebral thrombosis without mention of cerebral infarction 43400 I6619
Occlusion and stenosis of unsp anterior cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I669
Occlusion and stenosis of unspecified cerebral artery
Cerebral embolism with cerebral infarction 43411 I6340
Cerebral infarction due to embolism of unsp cerebral artery
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 5 Submitted January 2016
Vascular Disease ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Cerebral embolism without mention of cerebral infarction 43410 I6609
Occlusion and stenosis of unspecified middle cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I669
Occlusion and stenosis of unspecified cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I6619
Occlusion and stenosis of unsp anterior cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I6609
Occlusion and stenosis of unspecified middle cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I6629
Occlusion and stenosis of unsp posterior cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I6629
Occlusion and stenosis of unsp posterior cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I6619
Occlusion and stenosis of unsp anterior cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I6609
Occlusion and stenosis of unspecified middle cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I6629
Occlusion and stenosis of unsp posterior cerebral artery
Cerebral embolism without mention of cerebral infarction 43410 I6619
Occlusion and stenosis of unspanterior cerebral artery
Cerebral artery occlusion, unspecified without mention of cerebral infarction 43490 I669
Occlusion and stenosis of unspecified cerebral artery
Cerebral artery occlusion, unspecified without mention of cerebral infarction 43490 I669
Occlusion and stenosis of unspecified cerebral artery
Cerebral artery occlusion, unspecified with cerebral infarction 43491 I6350
Cereb infrc due to unsp occls or stenos of unsp cereb artery
Basilar artery syndrome 4350 G450 Vertebro‐basilar artery syndrome
Basilar artery syndrome 4350 G450 Vertebro‐basilar artery syndrome
Unspecified transient cerebral ischemia 4359 I67848 Other cerebrovascular vasospasm and vasoconstriction
Vertebrobasilar artery syndrome 4353 G450 Vertebro‐basilar artery syndrome
Subclavian steal syndrome 4352 G458 Oth transient cerebral ischemic attacks and related synd
Vertebrobasilar artery syndrome 4353 G450 Vertebro‐basilar artery syndrome
Vertebrobasilar artery syndrome 4353 G450 Vertebro‐basilar artery syndrome
Other specified transient cerebral ischemias 4358 G458
Oth transient cerebral ischemic attacks and related synd
Subclavian steal syndrome 4352 G458 Oth transient cerebral ischemic attacks and related synd
Vertebral artery syndrome 4351 G450 Vertebro‐basilar artery syndrome
Other specified transient cerebral ischemias 4358 G458
Oth transient cerebral ischemic attacks and related synd
Basilar artery syndrome 4350 G450 Vertebro‐basilar artery syndrome
Vertebral artery syndrome 4351 G450 Vertebro‐basilar artery syndrome
Other specified transient cerebral ischemias 4358 G451
Carotid artery syndrome (hemispheric)
Unspecified transient cerebral ischemia 4359 G459 Transient cerebral ischemic attack, unspecified
Vertebral artery syndrome 4351 G450 Vertebro‐basilar artery syndrome
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 6 Submitted January 2016
Vascular Disease ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Cerebral aneurysm, nonruptured 4373 I671 Cerebral aneurysm, nonruptured
Moyamoya disease 4375 I675 Moyamoya disease
Nonpyogenic thrombosis of intracranial venous sinus 4376 I676
Nonpyogenic thrombosis of intracranial venous system
Interruption of aortic arch 74711 Q252 Atresia of aorta
Coarctation of aorta (preductal) (postductal) 74710 Q251 Coarctation of aorta
Atresia and stenosis of aorta 74722 Q253 Supravalvular aortic stenosis
Anomalies of aortic arch 74721 Q254 Other congenital malformations of aorta
Anomaly of aorta, unspecified 74720 Q254 Other congenital malformations of aorta
Other anomalies of aorta 74729 Q254 Other congenital malformations of aorta
Anomaly of aorta, unspecified 74720 Q254 Other congenital malformations ofaorta
Other anomalies of aorta 74729 Q254 Other congenital malformations of aorta
Atresia and stenosis of aorta 74722 Q252 Atresia of aorta
Anomaly of aorta, unspecified 74720 Q254 Other congenital malformations of aorta
Anomalies of aortic arch 74721 Q254 Other congenital malformations of aorta
Anomalies of aortic arch 74721 Q254 Other congenital malformations of aorta
Other anomalies of aorta 74729 Q254 Other congenital malformations of aorta
Anomalies of cerebrovascular system 74781 Q283 Other malformations of cerebral vessels
Anomalies of cerebrovascular system 74781 Q282 Arteriovenous malformation of cerebral vessels
Other specified anomalies of circulatory system 74789 Q288
Oth congenital malformations of circulatory system
Unspecified anomaly of urinary system 7539 Q649 Congenital malformation of urinary system, unspecified
Unspecified intracranial hemorrhage 4329 I629 Nontraumatic intracranial hemorrhage, unspecified
Nontraumatic extradural hemorrhage 4320 I621 Nontraumatic extradural hemorrhage
Subdural hemorrhage 4321 I6200 Nontraumatic subdural hemorrhage, unspecified
Personal history of other diseases of circulatory system V1259 Z8679
Personal history of other diseases of the circulatory system
Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits V1254 Z8673
Prsnl hx of TIA (TIA), and cereb infrc w/o resid deficits
Personal history of other diseases of circulatory system V1259 Z8679
Personal history of other diseases of the circulatory system
Personal history of sudden cardiac arrest V1253 Z8674 Personal history of sudden cardiac arrest
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 7 Submitted January 2016
Vascular Disease ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Personal history of unspecified circulatory disease V1250 Z8679
Personal history of other diseases of the circulatory system
Personal history of venous thrombosis and embolism V1251 Z86718
Personal history of other venous thrombosis and embolism
Personal history of unspecified circulatory disease V1250 Z8679
Personal history of other diseases of the circulatory system
Personal history of pulmonary embolism V1255 Z86711 Personal history of pulmonary embolism
Personal history of thrombophlebitis V1252 Z8672 Personal history of thrombophlebitis
Table 4 [=IMG9]: ICD‐9‐CM Codes to Identify Head trauma and Intracranial Hemorrhage in Administrative Claims with ICD‐10‐CM Code Conversion
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Acute post‐traumatic headache 33921 G44319 Acute post‐traumatic headache, not intractable
Post‐traumatic headache, unspecified 33920 G44309 Post‐traumatic headache, unspecified, not intractable
Chronic post‐traumatic headache 33922 G44329 Chronic post‐traumatic headache, not intractable
Concussion with no loss of consciousness 8500 S060X0A
Concussion without loss of consciousness, initial encounter
Concussion, with loss of consciousness of 30 minutes or less 85011 S060X1A
Concussion w LOC of 30 minutes or less, init
Concussion, with loss of consciousness from 31 to 59 minutes 85012 S060X2A
Concussion w loss of consciousness of 31‐59 min, init
Closed fracture of vault of skull without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80004 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull without mention of intracranial injury, with brief [less than one hour] loss of consciousness 80002 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull without mention of intracranial injury, with no loss of consciousness 80001 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80005 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull without mention of intracranial injury, with loss of consciousness of unspecified duration 80006 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 8 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull without mention of intracranial injury, unspecified state of consciousness 80000 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull without mention of intracranial injury, with concussion, unspecified 80009 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull without mention of intracranial injury, with moderate [1‐24 hours] loss of consciousness 80003 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80013 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Closed fracture of vault of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80013 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Closed fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80014 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Closed fracture of vault of skull with cerebral laceration and contusion, with no loss of consciousness 80011 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with cerebral laceration and contusion, unspecified state of consciousness 80010 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80013 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80015 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Closed fracture of vault of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80016 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Closed fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80015 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 9 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80015 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Closed fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80015 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80012 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with cerebral laceration and contusion, with concussion, unspecified 80019 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80016 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80014 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80012 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Closed fracture of vault of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80012 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Closed fracture of vault of skull with cerebral laceration and contusion, with no loss of consciousness 80011 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Closed fracture of vault of skull with cerebral laceration and contusion, with concussion, unspecified 80019 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Closed fracture of vault of skull with cerebral laceration and contusion, unspecified state of consciousness 80010 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80025 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 10 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80025 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80026 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80024 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80024 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80025 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80025 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80021 S065X0A
Traum subdr hem w/o loss of consciousness, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80020 S065X0A
Traum subdr hem w/o loss of consciousness, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80022 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80026 S065X9A
Traum subdr hem w LOC of unsp duration, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80022 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 11 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80025 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80022 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80023 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80029 S066X0A
Traum subrac hem w/o loss of consciousness, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80023 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80023 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80024 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80029 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80025 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss consciousness, w/out return to pre‐existing conscious level 80025 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80025 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 12 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80021 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80021 S066X0A
Traum subrac hem w/o loss of consciousness, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80022 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80029 S065X0A
Traum subdr hem w/o loss of consciousness, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80026 S066X9A
Traum subrac hem w LOC of unsp duration, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80025 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80023 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80022 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80020 S066X0A
Traum subrac hem w/o loss of consciousness, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80020 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80029 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80020 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 13 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80021 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80024 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80022 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80025 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80026 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80023 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80022 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80023 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80023 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with no loss of consciousness 80031 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with concussion, unspecified 80039 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 14 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80032 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80033 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80035 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80034 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80033 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80032 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80035 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 80035 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80030 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80036 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80033 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 15 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80035 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with other and unspec intracranial hemorrhage, unspecified state of consciousness 80030 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with other and unspec intracranial hemorrhage, with loss of consciousness of unspecified duration 80036 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with concussion, unspecified 80039 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with other and unspec intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80034 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with no loss of consciousness 80031 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80032 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with intracranial injury of other and unspec nature, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 80045 S069X6A
Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init
Closed fracture of vault of skull with intracranial injury of other and unspec nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80045 S069X8A
Unsp intcrn inj w LOC w death d/t oth cause bf consc, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80045 S069X7A
Unsp intcrn inj w LOC w death d/t brain inj bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 16 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80044 S069X5A
Unsp intracranial injury w LOC >24 hr w ret consc lev, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80043 S06894A
Intcran inj w LOC of 6 hours to 24 hours, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80042 S069X1A
Unsp intracranial injury w LOC of 30 minutes or less, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80041 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80042 S06892A
Intcran inj w loss of consciousness of 31‐59 min, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80042 S06891A
Intcran inj w LOC of 30 minutes or less, init
Closed fracture of vault of skull w/intracranial injury of other and unspec nature, w/loss of consciousness of unspec duration 80046 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80040 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80043 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80046 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80040 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 17 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80041 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80040 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80049 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80041 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80049 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80042 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80049 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80046 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80044 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80045 S020XXA
Fracture of vault of skull, init encntr for closed fracture
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80042 S069X2A
Unsp intracranial injury w LOC of 31‐59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 18 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80043 S069X4A
Unsp intracranial injury w LOC of 6 hours to 24 hours, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80043 S069X3A
Unsp intracranial injury w LOC of 1‐5 hrs 59 min, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80043 S06893A
Intcran inj w loss of consciousness of 1‐5 hrs 59 min, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80044 S06895A
Intcran inj w LOC >24 hr w ret consc lev, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80045 S06897A
Intcran inj w LOC w death due to brain injury bf consc, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80045 S06898A
Intcran inj w LOC w death due to oth cause bf consc, init
Closed fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80045 S06896A
Intcran inj w LOC >24 hr w/o ret consc w surv, init
Open fracture of vault of skull without mention of intracranial injury, with loss of consciousness of unspecified duration 80056 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull without mention of intracranial injury, with brief [less than one hour] loss of consciousness 80052 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull without mention of intracranial injury, with moderate [1‐24 hours] loss of consciousness 80053 S020XXB
Fracture of vault of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 19 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull without mention of intracranial injury, with concussion, unspecified 80059 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull without mention of intracranial injury, with no loss of consciousness 80051 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80054 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull without mention of intracranial injury, unspecified state of consciousness 80050 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80055 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80065 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with cerebral laceration and contusion, with concussion, unspecified 80069 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80066 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with cerebral laceration and contusion, with no loss of consciousness 80061 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80064 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80066 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Open fracture of vault of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80063 S020XXB
Fracture of vault of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 20 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80065 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Open fracture of vault of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80062 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80065 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Open fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, w/out return to pre‐existing conscious level 80065 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Open fracture of vault of skull with cerebral laceration and contusion, unspecified state of consciousness 80060 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80064 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Open fracture of vault of skull with cerebral laceration and contusion, w/ moderate [1‐24 hours] loss of consciousness 80063 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Open fracture of vault of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80063 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Open fracture of vault of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80062 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Open fracture of vault of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80062 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Open fracture of vault of skull with cerebral laceration and contusion, w/ no loss of consciousness 80061 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Open fracture of vault of skull with cerebral laceration and contusion, with concussion, unspecified 80069 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 21 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with cerebral laceration and contusion, unspecified state of consciousness 80060 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80076 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80070 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80071 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80074 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80076 S066X9A
Traum subrac hem w LOC of unsp duration, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80070 S065X0A
Traum subdr hem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 22 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80072 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80073 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80073 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80072 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80073 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80079 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80074 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, w/loss of consciousness of unspec duration 80076 S065X9A
Traum subdr hem w LOC of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 23 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80074 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80072 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80079 S065X0A
Traum subdr hem w/o loss of consciousness, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80071 S065X0A
Traum subdr hem w/o loss of consciousness, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80073 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80072 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80072 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80072 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80071 S066X0A
Traum subrac hem w/o loss of consciousness, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80070 S066X0A
Traum subrac hem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 24 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80079 S066X0A
Traum subrac hem w/o loss of consciousness, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80070 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80079 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80074 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80071 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80073 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80072 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80076 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80073 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80073 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 25 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80075 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80080 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with no loss of consciousness 80081 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80085 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80082 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80083 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80085 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80085 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80084 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80083 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80082 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 26 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with concussion, unspecified 80089 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80086 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80085 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80084 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80080 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80082 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with concussion, unspecified 80089 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with other and unspec intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80083 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80086 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Open fracture of vault of skull with other and unspecified intracranial hemorrhage, with no loss of consciousness 80081 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80096 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 27 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80095 S06897A
Intcran inj w LOC w death due to brain injury bf consc, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80095 S069X8A
Unsp intcrn inj w LOC w death d/t oth cause bf consc, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80093 S06894A
Intcran inj w LOC of 6 hours to 24 hours, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80092 S069X2A
Unsp intracranial injury w LOC of 31‐59 min, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80091 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Open fracture of vault of skull with intracranial injury of other and unspec nature, with brief [less than one hour] loss of consciousness 80092 S06891A
Intcran inj w LOC of 30 minutes or less, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80096 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80099 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80094 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80099 S020XXB
Fracture of vault of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 28 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80093 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80095 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80091 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80090 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80092 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80099 S06890A
Intcran inj w/o loss of consciousness, init encntr
Open fracture of vault of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80090 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80091 S06890A
Intcran inj w/o loss of consciousness, init encntr
Open fracture of vault of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80090 S06890A
Intcran inj w/o loss of consciousness, init encntr
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80092 S069X1A
Unsp intracranial injury w LOC of 30 minutes or less, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80092 S06892A
Intcran inj w loss of consciousness of 31‐59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 29 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80093 S069X3A
Unsp intracranial injury w LOC of 1‐5 hrs 59 min, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80093 S069X4A
Unsp intracranial injury w LOC of 6 hours to 24 hours, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80093 S06893A
Intcran inj w loss of consciousness of 1‐5 hrs 59 min, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80094 S069X5A
Unsp intracranial injury w LOC >24 hr w ret consc lev, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80094 S06895A
Intcran inj w LOC >24 hr w ret consc lev, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80096 S020XXB
Fracture of vault of skull, init encntr for open fracture
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80095 S069X6A
Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80095 S06898A
Intcran inj w LOC w death due to oth cause bf consc, init
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80095 S069X7A
Unsp intcrn inj w LOC w death d/t brain inj bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 30 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of vault of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80095 S06896A
Intcran inj w LOC >24 hr w/o ret consc w surv, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80175 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80175 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80125 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, w/ prolonged [more than 24 hours] loss of consciousness, w/out return to pre‐existing conscious level 80125 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80126 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80126 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80196 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80199 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80180 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, w/no loss of consciousness 80131 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 31 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80196 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80146 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80195 S06896A
Intcran inj w LOC >24 hr w/o ret consc w surv, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80195 S069X6A
Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init
Closed fracture of base of skull w/intracranial injury of other and unspec nature, w/ prolonged [more than 24 hrs] loss of consciousness w/out return to pre‐existing conscious level 80145 S06898A
Intcran inj w LOC w death due to oth cause bf consc, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80195 S06897A
Intcran inj w LOC w death due to brain injury bf consc, init
Closed fracture of base of skull with intracranial injury of other and unspec nature, w/prolonged [more than 24 hrs] loss of consciousness, w/out return to pre‐existing conscious level 80145 S06896A
Intcran inj w LOC >24 hr w/o ret consc w surv, init
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80130 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80194 S069X5A
Unsp intracranial injury w LOC >24 hr w ret consc lev, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 32 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours) loss of consciousness and return to pre‐existing conscious level 80144 S069X5A
Unsp intracranial injury w LOC >24 hr w ret consc lev, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80194 S06895A
Intcran inj w LOC >24 hr w ret consc lev, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with concussion, unspecified 80189 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80182 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80182 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours) loss of consciousness and return to pre‐existing conscious level 80144 S06895A
Intcran inj w LOC >24 hr w ret consc lev, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80143 S069X3A
Unsp intracranial injury w LOC of 1‐5 hrs 59 min, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80143 S06894A
Intcran inj w LOC of 6 hours to 24 hours, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80193 S06894A
Intcran inj w LOC of 6 hours to 24 hours, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80192 S069X1A
Unsp intracranial injury w LOC of 30 minutes or less, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 33 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80183 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80192 S069X2A
Unsp intracranial injury w LOC of 31‐59 min, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80185 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80145 S069X6A
Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80142 S06891A
Intcran inj w LOC of 30 minutes or less, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80142 S06892A
Intcran inj w loss of consciousness of 31‐59 min, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80192 S06892A
Intcran inj w loss of consciousness of 31‐59 min, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80149 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80199 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fracture of base of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80140 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80141 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 34 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of base of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80140 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Closed fracture of base of skull without mention of intra cranial injury, with moderate [1‐24 hours] loss of consciousness 80103 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull without mention of intra cranial injury, with no loss of consciousness 80101 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80135 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80124 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80174 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80191 S06890A
Intcran inj w/o loss of consciousness, init encntr
Open fracture of base of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80191 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80190 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80134 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80186 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 35 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80175 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80184 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hrs] loss of consciousness, without return to pre‐existing conscious level 80135 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hrs] loss of consciousness, without return to pre‐existing conscious level 80135 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80129 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80133 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80120 S065X0A
Traum subdr hem w/o loss of consciousness, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80183 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80133 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80121 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80132 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 36 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80185 S0210XB
Unsp fracture of base of skull, init for opn fx
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80132 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80170 S0210XB
Unsp fracture of base of skull, init for opn fx
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with concussion, unspecified 80139 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80172 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80194 S0210XB
Unsp fracture of base of skull, init for opn fx
Closed fracture of base of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80112 S0210XA
Unsp fracture of base of skull, init for clos fx
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with no loss of consciousness 80181 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80195 S06898A
Intcran inj w LOC w death due to oth cause bf consc, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80176 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80192 S0210XB
Unsp fracture of base of skull, init for opn fx
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 37 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with cerebral laceration and contusion, with concussion, unspecified 80169 S0210XB
Unsp fracture of base of skull, init for opn fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80125 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80175 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80123 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80173 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80122 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80190 S0210XB
Unsp fracture of base of skull, init for opn fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80126 S065X9A
Traum subdr hem w LOC of unsp duration, init
Open fracture of base of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80166 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80179 S0210XB
Unsp fracture of base of skull, init for opn fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80125 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 38 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80170 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80120 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80175 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80123 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80195 S069X8A
Unsp intcrn inj w LOC w death d/t oth cause bf consc, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80145 S069X7A
Unsp intcrn inj w LOC w death d/t brain inj bf consc, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80146 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80191 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80154 S0210XB
Unsp fracture of base of skull, init for opn fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80125 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 39 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with concussion, unspecified 80189 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80175 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80125 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hrs] loss of consciousness, without return to pre‐existing conscious level 80175 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Open fracture of base of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80162 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with cerebral laceration and contusion, with no loss of consciousness 80161 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull without mention of intracranial injury, with loss of consciousness of unspecified duration 80156 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80165 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80186 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80174 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80124 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 40 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss consciousness, w/out return to pre‐existing conscious level 80175 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80173 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness 80160 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80199 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80176 S065X9A
Traum subdr hem w LOC of unsp duration, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80196 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80195 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80182 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80171 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull without mention of intracranial injury, unspecified state of consciousness 80150 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80173 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80173 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 41 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80183 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull without mention of intracranial injury, with brief [less than one hour] loss of consciousness 80152 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull without mention of intracranial injury, with prolonged [more than 24 hrs] loss of consciousness, without return to pre‐existing conscious level 80155 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull without mention of intracranial injury, with no loss of consciousness 80151 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull without mention of intracranial injury, with concussion, unspecified 80159 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull without mention of intracranial injury, with moderate [1‐24 hours] loss of consciousness 80153 S0210XB
Unsp fracture of base of skull, init for opn fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80122 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80122 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80176 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80172 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with no loss of consciousness 80181 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80193 S0210XB
Unsp fracture of base of skull, init for opn fx
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 42 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80121 S065X0A
Traum subdr hem w/o loss of consciousness, init
Open fracture of base of skull with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80180 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80184 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80172 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80164 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80174 S0210XB
Unsp fracture of base of skull, init for opn fx
Open fracture of base of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80163 S0210XB
Unsp fracture of base of skull, init for opn fx
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80135 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80116 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80129 S065X0A
Traum subdr hem w/o loss of consciousness, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80122 S0210XA
Unsp fracture of base of skull, init for clos fx
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 43 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80179 S065X0A
Traum subdr hem w/o loss of consciousness, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80170 S065X0A
Traum subdr hem w/o loss of consciousness, init
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with concussion, unspecified 80139 S0210XA
Unsp fracture of base of skull, init for clos fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80171 S065X0A
Traum subdr hem w/o loss of consciousness, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80121 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80130 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness 80110 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80126 S066X9A
Traum subrac hem w LOC of unsp duration, init
Closed fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hrs] loss of consciousness and return to pre‐existing conscious level 80114 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hrs) loss of consciousness and return to pre‐existing conscious level 80144 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80133 S0210XA
Unsp fracture of base of skull, init for clos fx
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 44 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80176 S066X9A
Traum subrac hem w LOC of unsp duration, init
Closed fracture of base of skull without mention of intra cranial injury, with loss of consciousness of unspecified duration 80106 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80123 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80136 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80125 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80125 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Closed fracture of base of skull with cerebral laceration and contusion, with no loss of consciousness 80111 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80125 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80125 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80149 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with intracranial injury of other and unspecified nature, unspecified state of consciousness 80140 S0210XA
Unsp fracture of base of skull, init for clos fx
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 45 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80134 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80113 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull without mention of intra cranial injury, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80104 S0210XA
Unsp fracture of base of skull, init for clos fx
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80185 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Closed fracture of base of skull without mention of intra cranial injury, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80105 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80143 S0210XA
Unsp fracture of base of skull, init for clos fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80175 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Closed fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80115 S0210XA
Unsp fracture of base of skull, init for clos fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80175 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Closed fracture of base of skull without mention of intra cranial injury, unspecified state of consciousness 80100 S0210XA
Unsp fracture of base of skull, init for clos fx
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 46 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80185 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80132 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80129 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fracture of base of skull without mention of intra cranial injury, with brief [less than one hour] loss of consciousness 80102 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80124 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80146 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80124 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80141 S0210XA
Unsp fracture of base of skull, init for clos fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80174 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with no loss of consciousness 80131 S0210XA
Unsp fracture of base of skull, init for clos fx
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80173 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 47 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80145 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspec state of consciousness 80120 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80142 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull without mention of intra cranial injury, with concussion, unspecified 80109 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with cerebral laceration and contusion, with concussion, unspecified 80119 S0210XA
Unsp fracture of base of skull, init for clos fx
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80123 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80123 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80173 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80171 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80172 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80122 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80122 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 48 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80121 S066X0A
Traum subrac hem w/o loss of consciousness, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80129 S066X0A
Traum subrac hem w/o loss of consciousness, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80171 S066X0A
Traum subrac hem w/o loss of consciousness, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80170 S066X0A
Traum subrac hem w/o loss of consciousness, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80179 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80179 S066X0A
Traum subrac hem w/o loss of consciousness, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80120 S066X0A
Traum subrac hem w/o loss of consciousness, init
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, w/loss of consciousness of unspecified duration 80136 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Open fracture of base of skull w/intracranial injury of other and unspecified nature, unspecified state of consciousness 80190 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Open fracture of base of skull w/cerebral laceration and contusion, with loss of consciousness of unspec duration 80166 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Closed fracture of base of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80116 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Closed fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hrs] loss of consciousness, without return to pre‐existing conscious level 80115 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 49 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with cerebral laceration and contusion, w/prolonged [more than 24 hrs] loss of consciousness, w/out return to pre‐existing conscious level 80165 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, w/brief [less than one hour] loss of consciousness 80172 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Closed fracture of base of skull w/cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness w/out return to pre‐existing conscious level 80115 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80122 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Open fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80165 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Closed fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80115 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Open fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80165 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Open fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80164 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Closed fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80114 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with concussion, unspecified 80149 S06890A
Intcran inj w/o loss of consciousness, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 50 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fracture of base of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80113 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Closed fracture of base of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80113 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Open fracture of base of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80163 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80172 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80172 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Open fracture of base of skull with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80163 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Open fracture of base of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80162 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Closed fracture of base of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80112 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Open fracture of base of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80162 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Closed fracture of base of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80112 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Closed fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness 80110 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Open fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness 80160 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Closed fracture of base of skull with cerebral laceration and contusion, with concussion, unspecified 80119 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 51 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with cerebral laceration and contusion, with no loss of consciousness 80161 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Open fracture of base of skull with cerebral laceration and contusion, with concussion, unspecified 80169 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Closed fracture of base of skull with cerebral laceration and contusion, with no loss of consciousness 80111 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with no loss of consciousness 80141 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80123 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80173 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80123 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80192 S06891A
Intcran inj w LOC of 30 minutes or less, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80195 S069X7A
Unsp intcrn inj w LOC w death d/t brain inj bf consc, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80142 S069X1A
Unsp intracranial injury w LOC of 30 minutes or less, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80142 S069X2A
Unsp intracranial injury w LOC of 31‐59 min, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80143 S069X4A
Unsp intracranial injury w LOC of 6 hours to 24 hours, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 52 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80193 S069X3A
Unsp intracranial injury w LOC of 1‐5 hrs 59 min, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80143 S06893A
Intcran inj w loss of consciousness of 1‐5 hrs 59 min, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80193 S06893A
Intcran inj w loss of consciousness of 1‐5 hrs 59 min, init
Open fracture of base of skull with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80193 S069X4A
Unsp intracranial injury w LOC of 6 hours to 24 hours, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80145 S069X8A
Unsp intcrn inj w LOC w death d/t oth cause bf consc, init
Closed fracture of base of skull with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80145 S06897A
Intcran inj w LOC w death due to brain injury bf consc, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80326 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80336 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80332 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Other closed skull fracture without mention of intracranial injury, with moderate [1‐24 hours] loss of consciousness 80303 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 53 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with intracranial injury of other and unspecified nature, with concussion, unspecified 80399 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Other open skull fracture with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80396 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80346 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, unspecified state of unconsciousness 80330 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80345 S069X6A
Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with no loss of consciousness 80381 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80345 S069X8A
Unsp intcrn inj w LOC w death d/t oth cause bf consc, init
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80395 S069X7A
Unsp intcrn inj w LOC w death d/t brain inj bf consc, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80372 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80345 S06896A
Intcran inj w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 54 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80332 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80382 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80394 S06895A
Intcran inj w LOC >24 hr w ret consc lev, init
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80394 S069X5A
Unsp intracranial injury w LOC >24 hr w ret consc lev, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80344 S069X5A
Unsp intracranial injury w LOC >24 hr w ret consc lev, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80344 S06895A
Intcran inj w LOC >24 hr w ret consc lev, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80343 S069X4A
Unsp intracranial injury w LOC of 6 hours to 24 hours, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80343 S069X3A
Unsp intracranial injury w LOC of 1‐5 hrs 59 min, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80333 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80333 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 55 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80383 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80343 S06893A
Intcran inj w loss of consciousness of 1‐5 hrs 59 min, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80342 S06892A
Intcran inj w loss of consciousness of 31‐59 min, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80342 S06891A
Intcran inj w LOC of 30 minutes or less, init
Other open skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80392 S06892A
Intcran inj w loss of consciousness of 31‐59 min, init
Other open skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80392 S069X2A
Unsp intracranial injury w LOC of 31‐59 min, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80342 S069X2A
Unsp intracranial injury w LOC of 31‐59 min, init
Other open skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80392 S069X1A
Unsp intracranial injury w LOC of 30 minutes or less, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80382 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Other open skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80392 S06891A
Intcran inj w LOC of 30 minutes or less, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with concussion, unspecified 80389 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80363 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 56 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with intracranial injury of other and unspecified nature, with no loss of consciousness 80391 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80373 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80396 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80395 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other closed skull fracture with intracranial injury of other and unspecified nature, with concussion, unspecified 80349 S06890A
Intcran inj w/o loss of consciousness, init encntr
Other closed skull fracture with intracranial injury of other and unspecified nature, with no loss of consciousness 80341 S06890A
Intcran inj w/o loss of consciousness, init encntr
Other closed skull fracture with intracranial injury of other and unspecified nature, unspecified state of consciousness 80340 S06890A
Intcran inj w/o loss of consciousness, init encntr
Other open skull fracture with intracranial injury of other and unspecified nature, with concussion, unspecified 80399 S06890A
Intcran inj w/o loss of consciousness, init encntr
Other open skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80385 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with intracranial injury of other and unspecified nature, with no loss of consciousness 80391 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Other closed skull fracture with intracranial injury of other and unspecified nature, unspecified state of consciousness 80340 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 57 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80380 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80379 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80371 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80370 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80366 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80365 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80375 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with other and unspecified intracranial hemorrhage, with no loss of consciousness 80381 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture without mention of intracranial injury, with concussion, unspecified 80359 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness w/out return to pre‐existing conscious level 80355 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80354 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture without mention of intracranial injury, with brief [less than one hour] loss of consciousness 80352 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 58 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture without mention of injury, unspecified state of consciousness 80350 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80393 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80386 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Other open skull fracture with cerebral laceration and contusion, with no loss of consciousness 80361 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other closed skull fracture with other and unspecified intracranial hemorrhage, unspecified state of unconsciousness 80330 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Other open skull fracture without mention of intracranial injury, with moderate [1‐24 hours] loss of consciousness 80353 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture without mention of intracranial injury, with no loss of consciousness 80351 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with intracranial injury of other and unspecified nature, with concussion, unspecified 80399 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with cerebral laceration and contusion, unspecified state of consciousness 80360 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80376 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80386 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80394 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 59 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80335 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80335 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80383 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80332 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80384 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture without mention of intracranial injury, with loss of consciousness of unspecified duration 80356 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80362 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with cerebral laceration and contusion, with concussion, unspecified 80369 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with other and unspecified intracranial hemorrhage, with concussion, unspecified 80389 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other open skull fracture with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80380 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with no loss of consciousness 80331 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80374 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 60 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with other and unspecified intracranial hemorrhage, with concussion, unspecified 80339 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other open skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80384 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Other closed skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80314 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with cerebral laceration and contusion, unspecified state of consciousness 80310 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture without mention of intracranial injury, with concussion, unspecified 80309 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80305 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80304 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80376 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, w/loss of consciousness of unspec duration 80326 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80346 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 61 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80344 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80343 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with intracranial injury of other and unspecified nature, unspecified state of consciousness 80340 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with other and unspecified intracranial hemorrhage, with concussion, unspecified 80339 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80375 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80375 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80335 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80375 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 62 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80329 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80333 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with intracranial injury of other and unspecified nature, with concussion, unspecified 80349 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80324 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80322 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80321 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80320 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with cerebral laceration and contusion, with concussion, unspecified 80319 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80316 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with cerebral laceration and contusion, with no loss of consciousness 80311 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80374 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with no loss of consciousness 80341 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 63 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80324 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Other closed skull fracture without mention of intracranial injury, with no loss of consciousness 80301 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80334 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture without mention of intracranial injury, with loss of consciousness of unspecified duration 80306 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80373 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80373 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Other closed skull fracture without mention of intracranial injury, with brief [less than one hour] loss of consciousness 80302 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80323 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80342 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture without mention of intracranial injury, unspecified state of consciousness 80300 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80312 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80313 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 64 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80315 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80345 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80372 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80322 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80346 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80371 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80329 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80321 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss consciousness, w/out return to pre‐existing conscious level 80375 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Other open skull fracture with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80396 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80326 S065X9A
Traum subdr hem w LOC of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 65 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80376 S065X9A
Traum subdr hem w LOC of unsp duration, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80375 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with no loss of consciousness 80331 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80375 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80375 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80374 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80335 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 66 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80324 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80385 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80373 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80323 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80373 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80323 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80372 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80322 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80372 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80322 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80334 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 67 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80379 S065X0A
Traum subdr hem w/o loss of consciousness, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80370 S065X0A
Traum subdr hem w/o loss of consciousness, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80385 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspec 80329 S065X0A
Traum subdr hem w/o loss of consciousness, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80321 S065X0A
Traum subdr hem w/o loss of consciousness, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80320 S065X0A
Traum subdr hem w/o loss of consciousness, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80371 S065X0A
Traum subdr hem w/o loss of consciousness, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80385 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80326 S066X9A
Traum subrac hem w LOC of unsp duration, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80376 S066X9A
Traum subrac hem w LOC of unsp duration, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 68 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80375 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80375 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80325 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80324 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80374 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80323 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80373 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80323 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80373 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 69 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture w/ subarachnoid, subdural, and extradural hemorrhage, w/ brief [less than 1 hr] loss of consciousness 80372 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80372 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80322 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80322 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80320 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80379 S066X0A
Traum subrac hem w/o loss of consciousness, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80371 S066X0A
Traum subrac hem w/o loss of consciousness, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80370 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80379 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80320 S066X0A
Traum subrac hem w/o loss of consciousness, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80321 S066X0A
Traum subrac hem w/o loss of consciousness, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80370 S066X0A
Traum subrac hem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 70 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80366 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Other closed skull fracture with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80316 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Other closed skull fracture with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80336 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Other open skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80364 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other closed skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80315 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Other open skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80365 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Other closed skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80315 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Other open skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80365 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Other closed skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80315 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80329 S066X0A
Traum subrac hem w/o loss of consciousness, init
Other open skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80365 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 71 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80314 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Other open skull fracture with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80364 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Other closed skull fracture with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80313 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Other open skull fracture with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80363 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Other closed skull fracture with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80313 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Other open skull fracture with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80363 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with concussion, unspecified 80349 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80322 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Other open skull fracture with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80383 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with intracranial injury of other and unspecified nature, unspecified state of consciousness 80390 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80372 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Other closed skull fracture with intracranial injury of other and unspec nature, w/no loss consciousness 80341 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 72 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with intracranial injury of other and unspecified nature, unspecified state of consciousness 80390 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with intracranial injury of other and unspecified nature, with no loss of consciousness 80391 S06890A
Intcran inj w/o loss of consciousness, init encntr
Other closed skull fracture with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80312 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Other open skull fracture with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80362 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Other closed skull fracture with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80312 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Other open skull fracture with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80362 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Other open skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80392 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80382 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Other open skull fracture with intracranial injury of other and unspecified nature, unspecified state of consciousness 80390 S06890A
Intcran inj w/o loss of consciousness, init encntr
Other closed skull fracture with cerebral laceration and contusion, unspecified state of consciousness 80310 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other open skull fracture with cerebral laceration and contusion, with no loss of consciousness 80361 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other open skull fracture with cerebral laceration and contusion, with concussion, unspecified 80369 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other closed skull fracture with cerebral laceration and contusion, with concussion, unspecified 80319 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other closed skull fracture with cerebral laceration and contusion, with no loss of consciousness 80311 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 73 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other open skull fracture with cerebral laceration and contusion, unspecified state of consciousness 80360 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80342 S069X1A
Unsp intracranial injury w LOC of 30 minutes or less, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80343 S06894A
Intcran inj w LOC of 6 hours to 24 hours, init
Other open skull fracture with intracranial injury of other and unspecified nature, w/moderate [1‐24 hours] loss of consciousness 80393 S069X3A
Unsp intracranial injury w LOC of 1‐5 hrs 59 min, init
Other open skull fracture with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80393 S069X4A
Unsp intracranial injury w LOC of 6 hours to 24 hours, init
Other open skull fracture with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80393 S06894A
Intcran inj w LOC of 6 hours to 24 hours, init
Other open skull fracture with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80393 S06893A
Intcran inj w loss of consciousness of 1‐5 hrs 59 min, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80323 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80395 S06897A
Intcran inj w LOC w death due to brain injury bf consc, init
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80395 S069X6A
Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80345 S06897A
Intcran inj w LOC w death due to brain injury bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 74 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80345 S069X7A
Unsp intcrn inj w LOC w death d/t brain inj bf consc, init
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80395 S069X8A
Unsp intcrn inj w LOC w death d/t oth cause bf consc, init
Other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80323 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80395 S06898A
Intcran inj w LOC w death due to oth cause bf consc, init
Other closed skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80345 S06898A
Intcran inj w LOC w death due to oth cause bf consc, init
Other open skull fracture with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80395 S06896A
Intcran inj w LOC >24 hr w/o ret consc w surv, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80496 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 75 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80446 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80446 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80445 S069X8A
Unsp intcrn inj w LOC w death d/t oth cause bf consc, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 h/rs] loss of consciousness, w/out return to pre‐existing conscious level 80445 S069X7A
Unsp intcrn inj w LOC w death d/t brain inj bf consc, init
Open fractures involving skull or face w/other bones, with intracranial injury of other and unspecified nature, w/prolonged [more than 24 hours] loss of consciousness w/out return to pre‐existing conscious level 80495 S069X6A
Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss consciousness, without return to pre‐existing conscious level 80485 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss consciousness, w/out return to pre‐existing conscious level 80445 S06897A
Intcran inj w LOC w death due to brain injury bf consc, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 80495 S06896A
Intcran inj w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 76 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80445 S06896A
Intcran inj w LOC >24 hr w/o ret consc w surv, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80482 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80494 S06895A
Intcran inj w LOC >24 hr w ret consc lev, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80483 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80470 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80493 S06893A
Intcran inj w loss of consciousness of 1‐5 hrs 59 min, init
Closed fractures involving skull or face with other bones, w/intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80443 S06893A
Intcran inj w loss of consciousness of 1‐5 hrs 59 min, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80493 S069X4A
Unsp intracranial injury w LOC of 6 hours to 24 hours, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80443 S069X4A
Unsp intracranial injury w LOC of 6 hours to 24 hours, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 77 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80443 S06894A
Intcran inj w LOC of 6 hours to 24 hours, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80492 S06892A
Intcran inj w loss of consciousness of 31‐59 min, init
Closed fractures involving skull or face w/other bones, w/intracranial injury of other and unspecified nature, w/brief [less than one hour] loss of conscious 80442 S06891A
Intcran inj w LOC of 30 minutes or less, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80442 S069X2A
Unsp intracranial injury w LOC of 31‐59 min, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80492 S069X1A
Unsp intracranial injury w LOC of 30 minutes or less, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80486 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with concussion, unspecified 80449 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with no loss of consciousness 80441 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, unspecified state of consciousness 80440 S06890A
Intcran inj w/o loss of consciousness, init encntr
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with concussion, unspecified 80499 S06890A
Intcran inj w/o loss of consciousness, init encntr
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, unspecified state of consciousness 80490 S06890A
Intcran inj w/o loss of consciousness, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 78 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with no loss of consciousness 80491 S06890A
Intcran inj w/o loss of consciousness, init encntr
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with no loss of consciousness 80441 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with no loss of consciousness 80491 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, unspecified state of consciousness 80440 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, unspecified state of consciousness 80490 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with concussion, unspecified 80499 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80486 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80436 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80472 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80476 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with concussion, unspecified 80469 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 79 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with no loss of consciousness 80461 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, without mention of intracranial injury, with brief [less than one hour] loss of consciousness 80452 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80435 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss consciousness, without return to pre‐existing conscious level 80485 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80463 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss consciousness, without return to pre‐existing conscious level 80485 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss consciousness, without return to pre‐existing conscious level 80485 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80483 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80435 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 80 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80479 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80482 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with concussion, unspecified 80499 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80496 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80494 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80493 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80484 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80492 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐ existing conscious level 80434 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 81 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with concussion, unspecified 80489 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80484 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with no loss of consciousness 80481 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80474 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80471 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80473 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80433 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80483 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80466 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 82 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80433 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, unspecified state of consciousness 80490 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80465 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80464 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, without mention of intracranial injury, with loss of consciousness of unspecified duration 80456 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80455 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80454 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, without mention of intracranial injury, with no loss of consciousness 80451 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, without mention of intracranial injury, unspecified state of consciousness 80450 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, without mention of intracranial injury, with concussion, unspecified 80459 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 83 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80432 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80435 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80482 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80480 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80432 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80462 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, unspecified state of consciousness 80460 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with no loss of consciousness 80491 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, without mention of intracranial injury, with moderate [1‐24 hours] loss of consciousness 80453 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80480 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with concussion, unspecified 80489 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 84 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with no loss of consciousness 80481 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with concussion, unspecified 80439 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with no loss of consciousness 80431 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80430 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80476 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80426 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 85 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80474 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80424 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80423 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80473 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80473 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, w/mod [1‐24 hours] loss consciousness 80423 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 86 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80443 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull of face with other bones, without mention of intracranial injury, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80405 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with brief [less than one hour] loss of consciousness 80432 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 80436 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80472 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with concussion, unspecified 80449 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80422 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Closed fractures involving skull or face w/other bones, with intracranial injury of other and unspecified nature, with brief [less than 1 hr] loss of consciousness 80442 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80472 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80420 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 87 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, without mention of intracranial injury, unspecified state of consciousness 80400 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80415 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with concussion, unspec 80419 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80429 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80445 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80444 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with no loss of consciousness 80441 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, unspecified state of consciousness 80440 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with moderate [1‐24 hours] loss of consciousness 80433 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80471 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 88 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80470 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, w/prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80424 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80429 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80479 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80421 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80421 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80416 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80414 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80413 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face w/other bones, w/cerebral laceration and contusion, with no loss of consciousness 80411 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull of face with other bones, without mention of intracranial injury, with loss of consciousness of unspecified duration 80406 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 89 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, without mention of intracranial injury, with brief [less than one hour] loss of consciousness 80402 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐ existing conscious level 80434 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with concussion, unspecified 80439 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80496 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Closed fractures involving skull or face with other bones, without mention or intracranial injury, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80404 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80476 S065X9A
Traum subdr hem w LOC of unsp duration, init
Closed fractures involving skull of face with other bones, without mention of intracranial injury, with concussion, unspecified 80409 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80426 S065X9A
Traum subdr hem w LOC of unsp duration, init
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with no loss of consciousness 80431 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, without mention of intracranial injury, with moderate [1‐24 hours] loss of consciousness 80403 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 90 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80435 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with loss of consciousness of unspecified duration 80446 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, without mention of intracranial injury, with no loss of consciousness 80401 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with concussion, unspecified 80449 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with other and unspecified intracranial hemorrhage, unspecified state of consciousness 80430 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, unspecified state of consciousness 80410 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 91 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80423 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80474 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80424 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80473 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, w/mod [1‐24 hours] loss of consciousness 80423 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, w/mod [1‐24 hours] loss consciousness 80473 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 92 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with mod [1‐24 hrs] loss consciousness 80423 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80472 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80422 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80472 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80422 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80479 S065X0A
Traum subdr hem w/o loss of consciousness, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 80495 S0291XB
Unspecified fracture of skull, init encntr for open fracture
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80471 S065X0A
Traum subdr hem w/o loss of consciousness, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80470 S065X0A
Traum subdr hem w/o loss of consciousness, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80429 S065X0A
Traum subdr hem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 93 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80421 S065X0A
Traum subdr hem w/o loss of consciousness, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80420 S065X0A
Traum subdr hem w/o loss of consciousness, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80476 S066X9A
Traum subrac hem w LOC of unsp duration, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80426 S066X9A
Traum subrac hem w LOC of unsp duration, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80475 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 94 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, w/prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80425 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80422 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80420 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 80426 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80424 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80474 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80423 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80473 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with moderate [1‐24 hours] loss of consciousness 80423 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 95 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with mod [1‐24 hours] loss of consciousness 80473 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80472 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80422 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80422 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80472 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80470 S066X0A
Traum subrac hem w/o loss of consciousness, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 80420 S066X0A
Traum subrac hem w/o loss of consciousness, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80421 S066X0A
Traum subrac hem w/o loss of consciousness, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80479 S066X0A
Traum subrac hem w/o loss of consciousness, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with concussion, unspecified 80429 S066X0A
Traum subrac hem w/o loss of consciousness, init
Open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 80471 S066X0A
Traum subrac hem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 96 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80466 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with loss of consciousness of unspecified duration 80416 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 80422 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80465 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80415 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80465 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80415 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80465 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80415 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 97 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80412 S0291XA
Unsp fracture of skull, init encntr for closed fracture
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80414 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80464 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80463 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80413 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80463 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with moderate [1‐24 hours] loss of consciousness 80413 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80412 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80462 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80412 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 98 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness 80462 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, unspecified state of consciousness 80410 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Open fractures involving skull or face with other bones, with cerebral laceration and contusion, w/no loss of consciousness 80461 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Open fractures involving skull or face w/other bones, with cerebral laceration and contusion, unspec state of consciousness 80460 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, w/no loss of consciousness 80411 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Open fractures involving skull or face w/other bones, with cerebral laceration and contusion, with concussion, unspecified 80469 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80442 S069X1A
Unsp intracranial injury w LOC of 30 minutes or less, init
Closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with concussion, unspecified 80419 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80492 S069X2A
Unsp intracranial injury w LOC of 31‐59 min, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80492 S06891A
Intcran inj w LOC of 30 minutes or less, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with brief [less than one hour] loss of consciousness 80442 S06892A
Intcran inj w loss of consciousness of 31‐59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 99 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with moderate [1‐24 hours] loss of consciousness 80493 S06894A
Intcran inj w LOC of 6 hours to 24 hours, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspec nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80444 S069X5A
Unsp intracranial injury w LOC >24 hr w ret consc lev, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hrs] loss of consciousness and return to pre‐existing conscious level 80494 S069X5A
Unsp intracranial injury w LOC >24 hr w ret consc lev, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 80444 S06895A
Intcran inj w LOC >24 hr w ret consc lev, init
Open fractures involving skull or face w/other bones, w/intracranial injury of other and unspecified nature, w/prolonged [more than 24 h/rs] loss of consciousness w/out return to pre‐existing conscious level 80495 S06898A
Intcran inj w LOC w death due to oth cause bf consc, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80445 S06898A
Intcran inj w LOC w death due to oth cause bf consc, init
Closed fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness, without return to pre‐existing conscious level 80445 S069X6A
Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 80495 S069X7A
Unsp intcrn inj w LOC w death d/t brain inj bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 100 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 80495 S069X8A
Unsp intcrn inj w LOC w death d/t oth cause bf consc, init
Open fractures involving skull or face with other bones, with intracranial injury of other and unspecified nature, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 80495 S06897A
Intcran inj w LOC w death due to brain injury bf consc, init
Concussion, with loss of consciousness of 30 minutes or less 85011 S060X1A
Concussion w LOC of 30 minutes or less, init
Concussion, with loss of consciousness from 31 to 59 minutes 85012 S060X2A
Concussion w loss of consciousness of 31‐59 min, init
Concussion with moderate loss of consciousness 8502 S060X3A
Concussion w loss of consciousness of 1‐5 hrs 59 min, init
Concussion with moderate loss of consciousness 8502 S060X4A
Concussion w LOC of 6 hours to 24 hours, init
Concussion with prolonged loss of consciousness and return to pre‐existing conscious level 8503 S060X5A
Concussion w LOC >24 hr w ret consc lev, init
Concussion with prolonged loss of consciousness, without return to pre‐existing conscious level 8504 S060X6A
Concussion w LOC >24 hr w/o ret consc w surv, init
Concussion with loss of consciousness of unspecified duration 8505 S060X9A
Concussion w loss of consciousness of unsp duration, init
Concussion, unspecified 8509 S060X0A Concussion without loss of consciousness, initial encounter
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with loss of consciousness of unspecified duration 85146 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cortex (cerebral) contusion with open intracranial wound, with no loss of consciousness 85111 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) contusion with open intracranial wound, with concussion, unspecified 85119 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85193 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 101 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with no loss of consciousness 85191 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with concussion, unspecified 85149 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cortex (cerebral) laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85134 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85194 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06386A
Contus/lac/hem brnst w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem laceration with open intracranial wound, with no loss of consciousness 85171 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06387A
Contus/lac/hem brnst w LOC w dth d/t brain inj bf consc,init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 102 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cortex (cerebral) laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85135 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified cerebral laceration and contusion, with open intracranial wound, unspec state of consciousness 85190 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) contusion with open intracranial wound, with loss of consciousness of unspecified duration 85116 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06376A
Contus/lac/hem crblm w LOC >24 hr w/o ret consc w surv, init
Cortex (cerebral) laceration with open intracranial wound, with loss of consciousness of unspecified duration 85136 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85133 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06388A
Contus/lac/hem brnst w LOC w dth d/t oth cause bf consc,init
Cortex (cerebral) contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85113 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06388A
Contus/lac/hem brnst w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem contusion with open intracranial wound, unspec state of consciousness 85150 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) contusion w/open intracranial wound, with prolonged [more than 24 hrs] loss of consciousness w/out return to pre‐existing conscious level 85115 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06388A
Contus/lac/hem brnst w LOC w dth d/t oth cause bf consc,init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 103 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem laceration with open intracranial wound, unspecified state of consciousness 85170 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06387A
Contus/lac/hem brnst w LOC w dth d/t brain inj bf consc,init
Cortex (cerebral) laceration with open intracranial wound, unspecified state of consciousness 85130 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06387A
Contus/lac/hem brnst w LOC w dth d/t brain inj bf consc,init
Cortex (cerebral) contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85112 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06377A
Contus/lac/hem crblm w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06386A
Contus/lac/hem brnst w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06386A
Contus/lac/hem brnst w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06386A
Contus/lac/hem brnst w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06378A
Contus/lac/hem crblm w LOC w dth d/t oth cause bf consc,init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 104 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06378A
Contus/lac/hem crblm w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06378A
Contus/lac/hem crblm w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06377A
Contus/lac/hem crblm w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06377A
Contus/lac/hem crblm w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S06373A
Contus/lac/hem crblm w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06377A
Contus/lac/hem crblm w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06376A
Contus/lac/hem crblm w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06376A
Contus/lac/hem crblm w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85164 S06375A
Contus/lac/hem crblm w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85164 S06385A
Contus/lac/hem brainstem w LOC >24 hr w ret consc lev, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 105 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85154 S06375A
Contus/lac/hem crblm w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85143 S06374A
Contus/lac/hem crblm w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85154 S06385A
Contus/lac/hem brainstem w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss consciousness and return to pre‐existing conscious level 85144 S06385A
Contus/lac/hem brainstem w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85174 S06375A
Contus/lac/hem crblm w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss consciousness and return to pre‐existing conscious level 85144 S06375A
Contus/lac/hem crblm w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85174 S06385A
Contus/lac/hem brainstem w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85143 S06374A
Contus/lac/hem crblm w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85163 S06383A
Contus/lac/hem brainstem w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S06383A
Contus/lac/hem brainstem w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85163 S06384A
Contus/lac/hem brainstem w LOC of 6 hours to 24 hours, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 106 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S06384A
Contus/lac/hem brainstem w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85163 S06373A
Contus/lac/hem crblm w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S06384A
Contus/lac/hem brainstem w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85143 S06384A
Contus/lac/hem brainstem w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S06383A
Contus/lac/hem brainstem w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85143 S06383A
Contus/lac/hem brainstem w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S06374A
Contus/lac/hem crblm w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85163 S06374A
Contus/lac/hem crblm w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S06374A
Contus/lac/hem crblm w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85163 S06373A
Contus/lac/hem crblm w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85143 S06373A
Contus/lac/hem crblm w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S06373A
Contus/lac/hem crblm w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S06373A
Contus/lac/hem crblm w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S06381A
Contus/lac/hem brainstem w LOC of 30 minutes or less, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 107 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S06381A
Contus/lac/hem brainstem w LOC of 30 minutes or less, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85142 S06382A
Contus/lac/hem brainstem w LOC of 31‐59 min, init
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S06371A
Contus/lac/hem crblm w LOC of 30 minutes or less, init
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S06372A
Contus/lac/hem crblm w LOC of 31‐59 min, init
Cerebellar or brain stem contusion without mention of open intracranial wound, w/ mod [1‐24 hours] loss of consciousness 85143 S06383A
Contus/lac/hem brainstem w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85162 S06382A
Contus/lac/hem brainstem w LOC of 31‐59 min, init
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S06382A
Contus/lac/hem brainstem w LOC of 31‐59 min, init
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S06382A
Contus/lac/hem brainstem w LOC of 31‐59 min, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85162 S06381A
Contus/lac/hem brainstem w LOC of 30 minutes or less, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85142 S06381A
Contus/lac/hem brainstem w LOC of 30 minutes or less, init
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S06372A
Contus/lac/hem crblm w LOC of 31‐59 min, init
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S06383A
Contus/lac/hem brainstem w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85162 S06372A
Contus/lac/hem crblm w LOC of 31‐59 min, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85142 S06372A
Contus/lac/hem crblm w LOC of 31‐59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 108 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem contusion without mention of open intracranial wound, w/brief [less than 1 hr] loss consciousness 85142 S06371A
Contus/lac/hem crblm w LOC of 30 minutes or less, init
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S06371A
Contus/lac/hem crblm w LOC of 30 minutes or less, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85162 S06371A
Contus/lac/hem crblm w LOC of 30 minutes or less, init
Cerebellar or brain stem laceration w/out mention of open intracranial wound, w/no loss of consciousness 85161 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with no loss of consciousness 85141 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion without mention of open intracranial wound, unspecified state of consciousness 85140 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, unspecified state of consciousness 85150 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, with no loss of consciousness 85151 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with concussion, unspecified 85169 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with no loss of consciousness 85171 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with no loss of consciousness 85141 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with concussion, unspecified 85149 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, unspecified state of consciousness 85170 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem laceration without mention of open intracranial wound, w/no loss of consciousness 85161 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem laceration without mention of open intracranial wound, unspecified state of consciousness 85160 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 109 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem contusion with open intracranial wound, with no loss of consciousness 85151 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem contusion without mention of open intracranial wound, unspecified state of consciousness 85140 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85163 S06384A
Contus/lac/hem brainstem w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem laceration without mention of open intracranial wound, unspecified state of consciousness 85160 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, unspecified state of consciousness 85150 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, unspecified state of consciousness 85170 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S06384A
Contus/lac/hem brainstem w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with concussion, unspecified 85169 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S06383A
Contus/lac/hem brainstem w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with no loss of consciousness 85171 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with no loss of consciousness 85171 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 110 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cortex (cerebral) laceration with open intracranial wound, with loss of consciousness of unspecified duration 85136 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85133 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, unspec. state of consciousness 85150 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cortex (cerebral) laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85135 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85162 S06371A
Contus/lac/hem crblm w LOC of 30 minutes or less, init
Cerebellar or brain stem laceration with open intracranial wound, with no loss of consciousness 85171 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with no loss of consciousness 85191 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85113 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85134 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S06372A
Contus/lac/hem crblm w LOC of 31‐59 min, init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85162 S06372A
Contus/lac/hem crblm w LOC of 31‐59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 111 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem contusion without mention of open intracranial wound, with concussion, unspecified 85149 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) laceration with open intracranial wound, with concussion, unspecified 85139 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85114 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06388A
Contus/lac/hem brnst w LOC w dth d/t oth cause bf consc,init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with brief [less than one hour] loss of consciousness 85192 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85174 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06376A
Contus/lac/hem crblm w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem contusion with open intracranial wound, with no loss of consciousness 85151 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06387A
Contus/lac/hem brnst w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06378A
Contus/lac/hem crblm w LOC w dth d/t oth cause bf consc,init
Cortex (cerebral) contusion with open intracranial wound, unspecified state of consciousness 85110 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 112 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with concussion, unspecified 85199 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with loss of consciousness of unspecified duration 85146 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with loss of consciousness of unspecified duration 85166 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem laceration with open intracranial wound, with loss of consciousness of unspecified duration 85176 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with loss of consciousness of unspecified duration 85156 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85195 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, with loss of consciousness of unspecified duration 85166 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem contusion with open intracranial wound, with loss of consciousness of unspecified duration 85156 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with concussion, unspecified 85189 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Cortex (cerebral) laceration without mention of open intracranial wound, with concussion, unspecified 85129 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Cortex (cerebral) laceration with open intracranial wound, with concussion, unspecified 85139 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 113 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cortex (cerebral) contusion without mention of open intracranial wound, with no loss of consciousness 85101 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with concussion, unspecified 85199 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with loss of consciousness of unspecified duration 85186 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Cortex (cerebral) laceration with open intracranial wound, with loss of consciousness of unspecified duration 85136 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with loss of consciousness of unspecified duration 85196 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) laceration without mention of open intracranial wound, with loss of consciousness of unspecified duration 85126 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Cortex (cerebral) laceration without mention of open intracranial wound, with no loss of consciousness 85121 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with loss of consciousness of unspecified duration 85196 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Cortex (cerebral) contusion with open intracranial wound, with concussion, unspecified 85119 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Cortex (cerebral) contusion with open intracranial wound, with loss of consciousness of unspecified duration 85116 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Cortex (cerebral) contusion without mention of open intracranial wound, with concussion, unspecified 85109 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Cortex (cerebral) contusion without mention of open intracranial wound, with loss of consciousness of unspecified duration 85106 S06339A
Contus/lac cereb, w LOC of unsp duration, init
Cortex (cerebral) laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85135 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 114 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85195 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Cortex (cerebral) laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85135 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Cortex (cerebral) contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85115 S06338A
Contus/lac cereb, w LOC w death d/t oth cause bf consc, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85195 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85185 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Cortex (cerebral) laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85135 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Cortex (cerebral) contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85115 S06337A
Contus/lac cereb, w LOC w death d/t brain inj bf consc, init
Cortex (cerebral) contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85115 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85195 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 115 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85185 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Cortex (cerebral) laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85125 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Cortex (cerebral) contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85105 S06336A
Contus/lac cereb, w LOC >24 hr w/o ret consc w surv, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85194 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐ existing conscious level 85184 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Cortex (cerebral) laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85134 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Cortex (cerebral) laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85124 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Cortex (cerebral) contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85114 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Cortex (cerebral) contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85104 S06335A
Contus/lac cereb, w LOC >24 hr w ret consc lev, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 116 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cortex (cerebral) contusion without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85103 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85193 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85193 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85183 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Cortex (cerebral) laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85133 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Cortex (cerebral) contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85113 S06334A
Contus/lac cereb, w LOC of 6 hours to 24 hours, init
Cortex (cerebral) laceration without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85123 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85183 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Cortex (cerebral) laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85133 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Cortex (cerebral) contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85113 S06333A
Contus/lac cereb, w LOC of 1‐5 hrs 59 min, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with brief [less than one hour] loss of consciousness 85192 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Cortex (cerebral) contusion without mention of open intracranial wound, w/brief [less than 1 hr] loss of consciousness 85102 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 117 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85182 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Cortex (cerebral) laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85132 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with brief [less than one hour] loss of consciousness 85192 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Cortex (cerebral) contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85112 S06332A
Contus/lac cereb, w loss of consciousness of 31‐59 min, init
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85182 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Cortex (cerebral) laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85132 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Cortex (cerebral) laceration without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85122 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Cortex (cerebral) contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85112 S06331A
Contus/lac cereb, w LOC of 30 minutes or less, init
Cortex (cerebral) contusion without mention of open intracranial wound, with concussion, unspecified 85109 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, unspecified state of consciousness 85190 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cortex (cerebral) laceration with open intracranial wound, unspecified state of consciousness 85130 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cortex (cerebral) laceration with open intracranial wound, with no loss of consciousness 85131 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cortex (cerebral) laceration without mention of open intracranial wound, unspecified state of consciousness 85120 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cortex (cerebral) laceration with open intracranial wound, with concussion, unspecified 85139 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 118 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with no loss of consciousness 85191 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with no loss of consciousness 85181 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cortex (cerebral) contusion without mention of open intracranial wound, unspecified state of consciousness 85100 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cortex (cerebral) contusion with open intracranial wound, unspecified state of consciousness 85110 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with concussion, unspecified 85199 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with concussion, unspecified 85189 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, unspecified state of consciousness 85180 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cortex (cerebral) laceration without mention of open intracranial wound, with concussion, unspecified 85129 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cortex (cerebral) contusion with open intracranial wound, with concussion, unspecified 85119 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cortex (cerebral) contusion with open intracranial wound, with no loss of consciousness 85111 S06330A
Contus/lac cereb, w/o loss of consciousness, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with loss of consciousness of unspecified duration 85166 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem laceration with open intracranial wound, with loss of consciousness of unspecified duration 85176 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with loss of consciousness of unspecified duration 85166 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 119 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem contusion with open intracranial wound, with loss of consciousness of unspecified duration 85156 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with concussion, unspecified 85149 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with loss of consciousness of unspecified duration 85146 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with loss of consciousness of unspecified duration 85146 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem contusion with open intracranial wound, with loss of consciousness of unspecified duration 85156 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem laceration with open intracranial wound, with loss of consciousness of unspecified duration 85176 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with concussion, unspecified 85169 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with concussion, unspecified 85169 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06378A
Contus/lac/hem crblm w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06376A
Contus/lac/hem crblm w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 120 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06377A
Contus/lac/hem crblm w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06388A
Contus/lac/hem brnst w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06388A
Contus/lac/hem brnst w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06388A
Contus/lac/hem brnst w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06388A
Contus/lac/hem brnst w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06387A
Contus/lac/hem brnst w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06387A
Contus/lac/hem brnst w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06387A
Contus/lac/hem brnst w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06387A
Contus/lac/hem brnst w LOC w dth d/t brain inj bf consc,init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 121 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06386A
Contus/lac/hem brnst w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06386A
Contus/lac/hem brnst w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85155 S06386A
Contus/lac/hem brnst w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06386A
Contus/lac/hem brnst w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06378A
Contus/lac/hem crblm w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06378A
Contus/lac/hem crblm w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06378A
Contus/lac/hem crblm w LOC w dth d/t oth cause bf consc,init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06377A
Contus/lac/hem crblm w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06377A
Contus/lac/hem crblm w LOC w dth d/t brain inj bf consc,init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 122 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06377A
Contus/lac/hem crblm w LOC w dth d/t brain inj bf consc,init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S06376A
Contus/lac/hem crblm w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85165 S06376A
Contus/lac/hem crblm w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85145 S06376A
Contus/lac/hem crblm w LOC >24 hr w/o ret consc w surv, init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85154 S06375A
Contus/lac/hem crblm w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85174 S06385A
Contus/lac/hem brainstem w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85154 S06385A
Contus/lac/hem brainstem w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85164 S06385A
Contus/lac/hem brainstem w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss consciousness and return to pre‐existing conscious level 85144 S06385A
Contus/lac/hem brainstem w LOC >24 hr w ret consc lev, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 123 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85174 S06375A
Contus/lac/hem crblm w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85164 S06375A
Contus/lac/hem crblm w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with prolonged [more than 24 hours] loss consciousness and return to pre‐existing conscious level 85144 S06375A
Contus/lac/hem crblm w LOC >24 hr w ret consc lev, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85163 S06374A
Contus/lac/hem crblm w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S06374A
Contus/lac/hem crblm w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S06384A
Contus/lac/hem brainstem w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85163 S06383A
Contus/lac/hem brainstem w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85142 S06381A
Contus/lac/hem brainstem w LOC of 30 minutes or less, init
Cortex (cerebral) contusion with open intracranial wound, with no loss of consciousness 85111 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S06374A
Contus/lac/hem crblm w LOC of 6 hours to 24 hours, init
Cortex (cerebral) laceration with open intracranial wound, with no loss of consciousness 85131 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) laceration with open intracranial wound, unspecified state of consciousness 85130 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85143 S06373A
Contus/lac/hem crblm w LOC of 1‐5 hrs 59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 124 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S06373A
Contus/lac/hem crblm w LOC of 1‐5 hrs 59 min, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85143 S06384A
Contus/lac/hem brainstem w LOC of 6 hours to 24 hours, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85162 S06382A
Contus/lac/hem brainstem w LOC of 31‐59 min, init
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S06382A
Contus/lac/hem brainstem w LOC of 31‐59 min, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85142 S06382A
Contus/lac/hem brainstem w LOC of 31‐59 min, init
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S06382A
Contus/lac/hem brainstem w LOC of 31‐59 min, init
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S06381A
Contus/lac/hem brainstem w LOC of 30 minutes or less, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85162 S06381A
Contus/lac/hem brainstem w LOC of 30 minutes or less, init
Cortex (cerebral) laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85132 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S06381A
Contus/lac/hem brainstem w LOC of 30 minutes or less, init
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85154 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with loss of consciousness of unspecified duration 85156 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S06372A
Contus/lac/hem crblm w LOC of 31‐59 min, init
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 125 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85195 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) contusion with open intracranial wound, with concussion, unspecified 85119 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85142 S06372A
Contus/lac/hem crblm w LOC of 31‐59 min, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85193 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85175 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85142 S06371A
Contus/lac/hem crblm w LOC of 30 minutes or less, init
Cerebellar or brain stem laceration with open intracranial wound, with loss of consciousness of unspecified duration 85176 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S06371A
Contus/lac/hem crblm w LOC of 30 minutes or less, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with loss of consciousness of unspecified duration 85196 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85194 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85152 S06371A
Contus/lac/hem crblm w LOC of 30 minutes or less, init
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 126 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with concussion, unspecified 85199 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, with no loss of consciousness 85161 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, with no loss of consciousness 85151 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) contusion with open intracranial wound, unspecified state of consciousness 85110 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified cerebral laceration and contusion, with open intracranial wound, unspecified state of consciousness 85190 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, with concussion, unspecified 85169 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cortex (cerebral) contusion with open intracranial wound, with loss of consciousness of unspecified duration 85116 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85174 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, with no loss of consciousness 85141 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Other and unspecified cerebral laceration and contusion, with open intracranial wound, with brief [less than one hour] loss of consciousness 85192 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85114 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, unspec. state of consciousness 85150 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, unspecified state of consciousness 85170 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 127 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cortex (cerebral) contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85115 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) laceration with open intracranial wound, with concussion, unspecified 85139 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, unspecified state of consciousness 85160 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85153 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cortex (cerebral) contusion with open intracranial wound, with brief [less than one hour] loss of consciousness 85112 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion without mention of open intracranial wound, unspecified state of consciousness 85140 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85172 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, with no loss of consciousness 85151 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration without mention of open intracranial wound, unspecified state of consciousness 85160 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, unspecified state of consciousness 85150 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with no loss of consciousness 85161 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem contusion without mention of open intracranial wound, unspecified state of consciousness 85140 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 128 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cerebellar or brain stem laceration with open intracranial wound, unspecified state of consciousness 85170 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, with no loss of consciousness 85151 S06380A
Contus/lac/hem brainstem w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, unspecified state of consciousness 85170 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration without mention of open intracranial wound, with concussion, unspec. 85169 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85173 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem laceration with open intracranial wound, with no loss of consciousness 85171 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion without mention of open intracranial wound, with no loss of consciousness 85141 S06370A
Contus/lac/hem crblm w/o loss of consciousness, init
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with concussion, unspecified 85169 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem laceration with open intracranial wound, with loss of consciousness of unspecified duration 85176 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem laceration without mention of open intracranial wound, with concussion, unspecified 85169 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem contusion with open intracranial wound, with concussion, unspecified 85159 S06379A
Contus/lac/hem crblm w LOC of unsp duration, init
Cerebellar or brain stem contusion with open intracranial wound, with loss of consciousness of unspecified duration 85156 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cerebellar or brain stem laceration with open intracranial wound, with concussion, unspecified 85179 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 129 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Cortex (cerebral) laceration with open intracranial wound, with brief [less than one hour] loss of consciousness 85132 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem contusion with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85154 S0190XA
Unsp open wound of unspecified part of head, init encntr
Cerebellar or brain stem laceration with open intracranial wound, with loss of consciousness of unspecified duration 85176 S06389A
Contus/lac/hem brainstem w LOC of unsp duration, init
Cortex (cerebral) laceration with open intracranial wound, with no loss of consciousness 85131 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with concussion, unspecified 85239 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85256 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85233 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with no loss of consciousness 85231 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with concussion, unspecified 85259 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Extradural hemorrhage following injury without mention of open intracranial wound, with concussion, unspecified 85249 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Extradural hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration 85246 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Extradural hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85256 S064X9A
Epidural hemorrhage w LOC of unsp duration, init
Extradural hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85245 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 130 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Extradural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85255 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Extradural hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85245 S064X8A
Epidur hemor w LOC w death due to oth causes bf consc, init
Extradural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85255 S064X7A
Epidur hemor w LOC w death d/t brain injury bf consc, init
Extradural hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85245 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Extradural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85255 S064X6A
Epidural hemorrhage w LOC >24 hr w/o ret consc w surv, init
Extradural hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85244 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Extradural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85254 S064X5A
Epidural hemorrhage w LOC >24 hr w ret consc lev, init
Extradural hemorrhage following injury without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85243 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Extradural hemorrhage following injury without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85243 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Extradural hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85253 S064X4A
Epidural hemorrhage w LOC of 6 hours to 24 hours, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 131 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Extradural hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85253 S064X3A
Epidural hemorrhage w LOC of 1‐5 hrs 59 min, init
Extradural hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85252 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Extradural hemorrhage following injury without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85242 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Extradural hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85252 S064X2A
Epidural hemorrhage w LOC of 31‐59 min, init
Extradural hemorrhage following injury without mention of open intracranial wound, with brief [less than 1 hour] loss of consciousness 85242 S064X1A
Epidural hemorrhage w LOC of 30 minutes or less, init
Extradural hemorrhage following injury with open intracranial wound, unspecified state of consciousness 85250 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Extradural hemorrhage following injury without mention of open intracranial wound, with concussion, unspecified 85249 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Extradural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness 85241 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Extradural hemorrhage following injury with open intracranial wound, with no loss of consciousness 85251 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Extradural hemorrhage following injury with open intracranial wound, with concussion, unspecified 85259 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Extradural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness 85240 S064X0A
Epidural hemorrhage w/o loss of consciousness, init encntr
Subdural hemorrhage following injury with open intracranial wound, with concussion, unspecified 85239 S065X9A
Traum subdr hem w LOC of unsp duration, init
Subdural hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration 85226 S065X9A
Traum subdr hem w LOC of unsp duration, init
Subdural hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85236 S065X9A
Traum subdr hem w LOC of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 132 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Subdural hemorrhage following injury without mention of open intracranial wound, with concussion, unspecified 85229 S065X9A
Traum subdr hem w LOC of unsp duration, init
Subdural hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85225 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Subdural hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85225 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Subdural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85235 S065X8A
Traum subdr hem w LOC w dth d/t oth cause bef reg consc,init
Subdural hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85225 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Subdural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85235 S065X7A
Traum subdr hem w LOC w dth d/t brain inj bef reg consc,init
Subdural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85235 S065X6A
Traum subdr hem w LOC >24 hr w/o ret consc w surv, init
Subdural hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85224 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Subdural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85234 S065X5A
Traum subdr hem w LOC >24 hr w ret consc lev, init
Subdural hemorrhage following injury without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85223 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 133 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Subdural hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85233 S065X4A
Traum subdr hem w LOC of 6 hours to 24 hours, init
Subdural hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85233 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Subdural hemorrhage following injury without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85223 S065X3A
Traum subdr hem w LOC of 1‐5 hrs 59 min, init
Subdural hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85222 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Subdural hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85232 S065X2A
Traum subdr hem w loss of consciousness of 31‐59 min, init
Subdural hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85222 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Subdural hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85232 S065X1A
Traum subdr hem w LOC of 30 minutes or less, init
Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness 85220 S065X0A
Traum subdr hem w/o loss of consciousness, init
Subdural hemorrhage following injury with open intracranial wound, with concussion, unspecified 85239 S065X0A
Traum subdr hem w/o loss of consciousness, init
Subdural hemorrhage following injury without mention of open intracranial wound, with concussion, unspecified 85229 S065X0A
Traum subdr hem w/o loss of consciousness, init
Subdural hemorrhage following injury with open intracranial wound, with no loss of consciousness 85231 S065X0A
Traum subdr hem w/o loss of consciousness, init
Subdural hemorrhage following injury with open intracranial wound, unspecified state of consciousness 85230 S065X0A
Traum subdr hem w/o loss of consciousness, init
Subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness 85221 S065X0A
Traum subdr hem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 134 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Subarachnoid hemorrhage following injury with open intracranial wound, with concussion, unspecified 85219 S066X9A
Traum subrac hem w LOC of unsp duration, init
Subarachnoid hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85216 S066X9A
Traum subrac hem w LOC of unsp duration, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with concussion, unspecified 85209 S066X9A
Traum subrac hem w LOC of unsp duration, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration 85206 S066X9A
Traum subrac hem w LOC of unsp duration, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85205 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Subarachnoid hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85215 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85205 S066X8A
Traum subrac hem w LOC w death d/t oth cause bf consc, init
Subarachnoid hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85215 S066X7A
Traum subrac hem w LOC w death d/t brain inj bf consc, init
Subarachnoid hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85215 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85205 S066X6A
Traum subrac hem w LOC >24 hr w/o ret consc w surv, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 135 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85204 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Subarachnoid hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours) loss of consciousness and return to pre‐existing conscious level 85214 S066X5A
Traum subrac hem w LOC >24 hr w ret consc lev, init
Subarachnoid hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85213 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85203 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Subarachnoid hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85213 S066X4A
Traum subrac hem w LOC of 6 hours to 24 hours, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85203 S066X3A
Traum subrac hem w LOC of 1‐5 hrs 59 min, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85202 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Subarachnoid hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85212 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85202 S066X2A
Traum subrac hem w loss of consciousness of 31‐59 min, init
Subarachnoid hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85212 S066X1A
Traum subrac hem w LOC of 30 minutes or less, init
Subarachnoid hemorrhage following injury with open intracranial wound, with no loss of consciousness 85211 S066X0A
Traum subrac hem w/o loss of consciousness, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 136 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness 85201 S066X0A
Traum subrac hem w/o loss of consciousness, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness 85200 S066X0A
Traum subrac hem w/o loss of consciousness, init
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with concussion, unspecified 85209 S066X0A
Traum subrac hem w/o loss of consciousness, init
Subarachnoid hemorrhage following injury with open intracranial wound, with concussion, unspecified 85219 S066X0A
Traum subrac hem w/o loss of consciousness, init
Subarachnoid hemorrhage following injury with open intracranial wound, unspecified state of consciousness 85210 S066X0A
Traum subrac hem w/o loss of consciousness, init
Extradural hemorrhage following injury with open intracranial wound, with concussion, unspecified 85259 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85235 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85236 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85212 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85216 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85234 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85254 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 137 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Extradural hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85253 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours) loss of consciousness and return to pre‐existing conscious level 85214 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85215 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with no loss of consciousness 85251 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85252 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, unspecified state of consciousness 85250 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with no loss of consciousness 85211 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85232 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85255 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, unspecified state of consciousness 85230 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with concussion, unspecified 85219 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85213 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with concussion, unspecified 85259 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 138 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Subdural hemorrhage following injury with open intracranial wound, with no loss of consciousness 85231 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85236 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85235 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85212 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85216 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85234 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85254 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85253 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85233 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours) loss of consciousness and return to pre‐existing conscious level 85214 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85215 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 139 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Extradural hemorrhage following injury with open intracranial wound, with no loss of consciousness 85251 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85256 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85252 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, unspecified state of consciousness 85250 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with no loss of consciousness 85211 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with concussion, unspecified 85239 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85232 S0190XA
Unsp open wound of unspecified part of head, init encntr
Extradural hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85255 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subdural hemorrhage following injury with open intracranial wound, unspecified state of consciousness 85230 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with concussion, unspecified 85219 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85213 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with concussion, unspecified 85319 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration 85306 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 140 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with concussion, unspecified 85309 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85316 S06369A
Traum hemor cereb, w LOC of unsp duration, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85315 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85305 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85315 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85305 S06366A
Traum hemor cereb, w LOC >24 hr w/o ret consc w surv, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85315 S06367A
Traum hemor cereb, w LOC w dth d/t brain inj bf consc, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85305 S06368A
Traum hemor cereb, w LOC w dth d/t oth cause bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 141 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85314 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐ existing conscious level 85304 S06365A
Traum hemor cereb, w LOC >24 hr w ret consc lev, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85303 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85313 S06364A
Traum hemor cereb, w LOC of 6 hours to 24 hours, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85303 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85313 S06363A
Traum hemor cereb, w LOC of 1‐5 hrs 59 minutes, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85312 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85302 S06362A
Traum hemor cereb, w LOC of 31‐59 min, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85312 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85302 S06361A
Traum hemor cereb, w LOC of 30 minutes or less, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 142 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness 85300 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with no loss of consciousness 85311 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with concussion, unspecified 85319 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, unspecified state of consciousness 85310 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness 85301 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with concussion, unspecified 85309 S06360A
Traum hemor cereb, w/o loss of consciousness, init
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with concussion, unspecified 85319 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85314 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85313 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85315 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85312 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 143 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, unspec state of consciousness 85310 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85316 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with no loss of consciousness 85311 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with concussion, unspecified 85319 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85314 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85313 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85315 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with brief [less than one hour] loss of consciousness 85312 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, unspecified state of consciousness 85310 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with loss of consciousness of unspecified duration 85316 S0190XA
Unsp open wound of unspecified part of head, init encntr
Other and unspecified intracranial hemorrhage following injury with open intracranial wound, with no loss of consciousness 85311 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 144 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with loss of consciousness of unspecified duration 85406 S061X9A
Traumatic cerebral edema w LOC of unsp duration, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with loss of consciousness of unspecified duration 85406 S069X9A
Unsp intracranial injury w LOC of unsp duration, init
Intracranial injury of other and unspecified nature with open intracranial wound, with loss of consciousness of unspecified duration 85416 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Intracranial injury of other and unspecified nature with open intracranial wound, with concussion, unspecified 85419 S06899A
Intcran inj w loss of consciousness of unsp duration, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85405 S061X8A
Traum cereb edema w LOC w death d/t oth cause bf consc, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85405 S061X7A
Traum cereb edema w LOC w death d/t brain inj bf consc, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85405 S061X6A
Traum cerebral edema w LOC >24 hr w/o ret consc w surv, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85405 S069X6A
Unsp intcrn injury w LOC >24 hr w/o ret consc w surv, init
Intracranial injury of other and unspecified nature with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85415 S06898A
Intcran inj w LOC w death due to oth cause bf consc, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 145 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Intracranial injury of other and unspecified nature with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85415 S06897A
Intcran inj w LOC w death due to brain injury bf consc, init
Intracranial injury of other and unspecified nature with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85415 S06896A
Intcran inj w LOC >24 hr w/o ret consc w surv, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85404 S061X5A
Traumatic cerebral edema w LOC >24 hr w ret consc lev, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85404 S069X5A
Unsp intracranial injury w LOC >24 hr w ret consc lev, init
Intracranial injury of other and unspecified nature with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85414 S06895A
Intcran inj w LOC >24 hr w ret consc lev, init
Intracranial injury of other and unspecified nature with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85413 S06894A
Intcran inj w LOC of 6 hours to 24 hours, init
Intracranial injury of other and unspecified nature with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85413 S06893A
Intcran inj w loss of consciousness of 1‐5 hrs 59 min, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85403 S061X4A
Traumatic cerebral edema w LOC of 6 hours to 24 hours, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85403 S061X3A
Traumatic cerebral edema w LOC of 1‐5 hrs 59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 146 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85403 S069X4A
Unsp intracranial injury w LOC of 6 hours to 24 hours, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85403 S069X3A
Unsp intracranial injury w LOC of 1‐5 hrs 59 min, init
Intracranial injury of other and unspecified nature with open intracranial wound, with brief [less than one hour] loss of consciousness 85412 S06892A
Intcran inj w loss of consciousness of 31‐59 min, init
Intracranial injury of other and unspecified nature with open intracranial wound, with brief [less than one hour] loss of consciousness 85412 S06891A
Intcran inj w LOC of 30 minutes or less, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85402 S061X2A
Traumatic cerebral edema w LOC of 31‐59 min, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85402 S061X1A
Traumatic cerebral edema w LOC of 30 minutes or less, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85402 S069X2A
Unsp intracranial injury w LOC of 31‐59 min, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85402 S069X1A
Unsp intracranial injury w LOC of 30 minutes or less, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with concussion, unspecified 85409 S060X0A
Concussion without loss of consciousness, initial encounter
Intracranial injury of other and unspecified nature without mention of open intracranial wound, unspecified state of consciousness 85400 S06890A
Intcran inj w/o loss of consciousness, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with no loss of consciousness 85411 S06890A
Intcran inj w/o loss of consciousness, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with concussion, unspec 85419 S06890A
Intcran inj w/o loss of consciousness, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 147 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with concussion, unspecified 85409 S06890A
Intcran inj w/o loss of consciousness, init encntr
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with no loss of consciousness 85401 S06890A
Intcran inj w/o loss of consciousness, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, unspecified state of consciousness 85410 S06890A
Intcran inj w/o loss of consciousness, init encntr
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with no loss of consciousness 85401 S061X0A
Traumatic cerebral edema w/o loss of consciousness, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with no loss of consciousness 85401 S069X0A
Unsp intracranial injury w/o loss of consciousness, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85403 S061X4A
Traumatic cerebral edema w LOC of 6 hours to 24 hours, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85405 S061X8A
Traum cereb edema w LOC w death d/t oth cause bf consc, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85405 S061X7A
Traum cereb edema w LOC w death d/t brain inj bf consc, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85402 S061X1A
Traumatic cerebral edema w LOC of 30 minutes or less, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 85402 S061X2A
Traumatic cerebral edema w LOC of 31‐59 min, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85403 S061X3A
Traumatic cerebral edema w LOC of 1‐5 hrs 59 min, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 148 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85405 S061X6A
Traum cerebral edema w LOC >24 hr w/o ret consc w surv, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with loss of consciousness of unspecified duration 85406 S061X9A
Traumatic cerebral edema w LOC of unsp duration, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85404 S061X5A
Traumatic cerebral edema w LOC >24 hr w ret consc lev, init
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with no loss of consciousness 85401 S061X0A
Traumatic cerebral edema w/o loss of consciousness, init
Intracranial injury of other and unspecified nature with open intracranial wound, with brief [less than one hour] loss of consciousness 85412 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, unspecified state of consciousness 85410 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with no loss of consciousness 85411 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with mod [1‐24 hours] loss of consciousness 85413 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85415 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85414 S0190XA
Unsp open wound of unspecified part of head, init encntr
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 149 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Intracranial injury of other and unspecified nature with open intracranial wound, with concussion, unspecified 85419 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with loss of consciousness of unspecified duration 85416 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with moderate [1‐24 hours] loss of consciousness 85413 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with loss of consciousness of unspecified duration 85416 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with brief [less than one hour] loss of consciousness 85412 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, unspecified state of consciousness 85410 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with no loss of consciousness 85411 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre‐existing conscious level 85415 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre‐existing conscious level 85414 S0190XA
Unsp open wound of unspecified part of head, init encntr
Intracranial injury of other and unspecified nature with open intracranial wound, with concussion, unspecified 85419 S0190XA
Unsp open wound of unspecified part of head, init encntr
Subarachnoid hemorrhage 430 I609 Nontraumatic subarachnoid hemorrhage, unspecified
Intracerebral hemorrhage 431 I619 Nontraumatic intracerebral hemorrhage, unspecified
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 150 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Unspecified intracranial hemorrhage 4329 I629 Nontraumatic intracranial hemorrhage, unspecified
Subdural hemorrhage 4321 I6200 Nontraumatic subdural hemorrhage, unspecified
Nontraumatic extradural hemorrhage 4320 I621 Nontraumatic extradural hemorrhage
Child neglect (nutritional) 99552 T7402XA Child neglect or abandonment, confirmed, initial encounter
Shaken baby syndrome 99555 T744XXA Shaken infant syndrome, initial encounter
Child physical abuse 99554 T7612XA Child physical abuse, suspected, initial encounter
Child physical abuse 99554 T7412XA Child physical abuse, confirmed, initial encounter
Child sexual abuse 99553 T7622XA Child sexual abuse, suspected, initial encounter
Child sexual abuse 99553 T7422XA Child sexual abuse, confirmed, initial encounter
Child neglect (nutritional) 99552 T7602XA Child neglect or abandonment, suspected, initial encounter
Child neglect (nutritional) 99552 T7402XA Child neglect or abandonment, confirmed, initial encounter
Child emotional/ psychological abuse 99551 T7632XA Child psychological abuse, suspected, initial encounter
Child emotional/ psychological abuse 99551 T7432XA Child psychological abuse, confirmed, initial encounter
Other child abuse and neglect 99559 T7692XA Unspecified child maltreatment, suspected, initial encounter
Child abuse, unspecified 99550 T7692XA Unspecified child maltreatment, suspected, initial encounter
Child abuse, unspecified 99550 T7492XA Unspecified child maltreatment, confirmed, initial encounter
Other child abuse and neglect 99559 T7492XA Unspecified child maltreatment, confirmed, initial encounter
Observation and evaluation for suspected abuse and neglect V7181 Z0472
Encntr for exam and obs fol alleged child physical abuse
Observation and evaluation for suspected abuse and neglect V7181 Z0471
Encntr for exam and obs fol alleged adult physical abuse
Late effect of fracture of skull and face bones 9050 S028XXS
Fractures of other specified skull and facial bones, sequela
Late effect of fracture of skull and face bones 9050 S0269XS
Fracture of mandible of other specified site, sequela
Late effect of fracture of skull and face bones 9050 S0267XS
Fracture of alveolus of mandible, sequela
Late effect of fracture of skull and face bones 9050 S0265XS
Fracture of angle of mandible, sequela
Late effect of fracture of skull and face bones 9050 S0264XS
Fracture of ramus of mandible, sequela
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 151 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Late effect of fracture of skull and face bones 9050 S0263XS
Fracture of coronoid process of mandible, sequela
Late effect of fracture of skull and face bones 9050 S0262XS
Fracture of subcondylar process of mandible, sequela
Late effect of fracture of skull and face bones 9050 S0261XS
Fracture of condylar process of mandible, sequela
Late effect of fracture of skull and face bones 9050 S02609S
Fracture of mandible, unspecified, sequela
Late effect of fracture of skull and face bones 9050 S02600S
Fracture of unspecified part of body of mandible, sequela
Late effect of fracture of skull and face bones 9050 S0242XS
Fracture of alveolus of maxilla, sequela
Late effect of fracture of skull and face bones 9050 S02413S LeFort III fracture, sequela
Late effect of fracture of skull and face bones 9050 S02412S LeFort II fracture, sequela
Late effect of fracture of skull and face bones 9050 S02402S
Zygomatic fracture, unspecified, sequela
Late effect of fracture of skull and face bones 9050 S02401S
Maxillary fracture, unspecified, sequela
Late effect of fracture of skull and face bones 9050 S02400S Malar fracture unspecified, sequela
Late effect of fracture of skull and face bones 9050 S022XXS Fracture of nasal bones, sequela
Late effect of fracture of skull and face bones 9050 S0219XS
Other fracture of base of skull, sequela
Late effect of fracture of skull and face bones 9050 S02119S
Unspecified fracture of occiput, sequela
Late effect of fracture of skull and face bones 9050 S02118S Other fracture of occiput, sequela
Late effect of fracture of skull and face bones 9050 S02113S
Unspecified occipital condyle fracture, sequela
Late effect of fracture of skull and face bones 9050 S02112S
Type III occipital condyle fracture, sequela
Late effect of fracture of skull and face bones 9050 S02111S
Type II occipital condyle fracture, sequela
Late effect of fracture of skull and face bones 9050 S0210XS
Unspecified fracture of base of skull, sequela
Late effect of fracture of skull and face bones 9050 S020XXS Fracture of vault of skull, sequela
Late effect of fracture of skull and face bones 9050 S0292XS
Unspecified fracture of facial bones, sequela
Late effect of fracture of skull and face bones 9050 S02110S
Type I occipital condyle fracture, sequela
Late effect of fracture of skull and face bones 9050 S023XXS Fracture of orbital floor, sequela
Late effect of fracture of skull and face bones 9050 S0291XS Unspecified fracture of skull, sequela
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 152 Submitted January 2016
Head Trauma/ Intracranial Hemorrhage
ICD‐9‐CM Code Description ICD‐9‐CM Code
ICD‐10‐CM Code ICD‐10‐CM Code Description
Late effect of fracture of skull and face bones 9050 S0266XS
Fracture of symphysis of mandible, sequela
Late effect of fracture of skull and face bones 9050 S025XXS Fracture of tooth (traumatic), sequela
Late effect of fracture of skull and face bones 9050 S02411S LeFort I fracture, sequela
Late effect of intracranial injury without mention of skull fracture 9070 S069X9S
Unsp intracranial injury w LOC of unsp duration, sequela
Table 5 [=IMG12]: ICD‐9‐CM Codes to Identify Relative Contraindications to MRI in Administrative Claims with ICD‐10‐CM Code Conversion
Contraindications To MRI ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Fitting and adjustment of cerebral ventricular (communicating) shunt V5301 Z4541
Encounter for adjustment and management of CSF drain dev
Fitting and adjustment of neuropacemaker (brain) (peripheral nerve) (spinal cord) V5302 Z4542
Encounter for adjust and mgmt of neuropacemaker (brain)
Fitting and adjustment of other devices related to nervous system and special senses V5309 Z4549
Encntr for adjust and mgmt of implanted nervous sys device
Fitting and adjustment of other devices related to nervous system and special senses V5309 Z45328
Encounter for adjust and management of implanted hear dev
Fitting and adjustment of other devices related to nervous system and special senses V5309 Z4531
Encntr for adjust and mgmt of implnt visual substitution dev
Fitting and adjustment of other devices related to nervous system and special senses V5309 Z462
Encntr for fit/adjst of dev rel to nrv sys and specl senses
Fitting and adjustment of cardiac pacemaker V5331 Z45010
Encntr for checking and test of card pacemaker pulse gnrtr
Fitting and adjustment of cardiac pacemaker V5331 Z45018
Encounter for adjust and mgmt oth prt cardiac pacemaker
Fitting and adjustment of automatic implantable cardiac defibrillator V5332 Z4502
Encntr for adjust and mgmt of automatic implntbl card defib
Fitting and adjustment of insulin pump V5391 Z4681 Encounter for fitting and adjustment of insulin pump
Fitting and adjustment of insulin pump V5391 Z4681 Encounter for fitting and adjustment of insulin pump
Fitting and adjustment, other device V5399 Z4689 Encounter for fitting and adjustment of oth devices
Fitting and adjustment, other device V5399 Z4689 Encounter for fitting and adjustment of oth devices
Fitting and adjustment, other device V5399 Z4689 Encounter for fitting and adjustment of oth devices
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 153 Submitted January 2016
Contraindications To MRI ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Intraocular foreign body, magnetic, in other or multiple sites 36059 H44699
Retain intraoc fb, magnet, in oth or mult sites, unsp eye
Foreign body, magnetic, in posterior wall 36055 H44649
Retained (old) magnetic fb in post wall of globe, unsp eye
Foreign body, magnetic, in vitreous 36054 H44659 Retained (old) magnetic fb in vitreous body, unsp eye
Foreign body, magnetic, in lens 36053 H44639 Retained (old) magnetic foreign body in lens, unsp eye
Foreign body, magnetic, in iris or ciliary body 36052 H44629
Retained (old) magnetic fb in iris or ciliary body, unsp eye
Foreign body, magnetic, in anterior chamber of eye 36051 H44619
Retained (old) magnetic fb in ant chamber, unsp eye
Foreign body, magnetic, intraocular, unspecified 36050 H44609
Unsp retained (old) intraocular fb, magnetic, unsp eye
Penetration of eyeball with magnetic foreign body 8715 S0550XA
Penetrating wound w foreign body of unsp eyeball, init
Penetration of eyeball with magnetic foreign body 8715 S0550XA
Penetrating wound w foreign body of unsp eyeball, init
Mechanical complication of nervous system device, implant, and graft 9962 T8509XA
Mech compl of ventricular intracranial shunt, init
Mechanical complication of nervous system device, implant, and graft 9962 T85199A
Mech compl of implnt electrnc stimultr of nervous sys, init
Mechanical complication of nervous system device, implant, and graft 9962 T85192A
Mech compl of implnt electrnc neurostim of spinal cord, init
Mechanical complication of nervous system device, implant, and graft 9962 T85190A
Mech compl of implanted electronic neurostim of brain, init
Other mechanical complication of other internal orthopedic device, implant, and graft 99649 T84498A
Mech compl of internal orth devices, implnt and grafts, init
Unspecified mechanical complication of internal orthopedic device, implant, and graft 99640 T84498A
Mech compl of internal orth devices, implnt and grafts, init
Other mechanical complication of other internal orthopedic device, implant, and graft 99649 T84199A
Mech compl of int fix of unsp bone of limb, init
Other mechanical complication of other internal orthopedic device, implant, and graft 99649 T84129A
Displacement of int fix of unsp bone of limb, init
Other mechanical complication of other internal orthopedic device, implant, and graft 99649 T84119A
Breakdown (mechanical) of int fix of unsp bone of limb, init
Other mechanical complication of prosthetic joint implant 99647 T84099A
Mech compl of unsp internal joint prosthesis, init encntr
Articular bearing surface wear of prosthetic joint 99646 T84069A
Wear of artic bearing surface of unsp int prosth joint, init
Peri‐prosthetic osteolysis 99645 T84059A Periprosth osteolys of unsp internal prosthetic joint, init
Peri‐prosthetic fracture around prosthetic joint 99644 T84049A
Periprosth fracture around unsp internal prosth joint, init
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 154 Submitted January 2016
Contraindications To MRI ICD‐9‐CM Code Description
ICD‐9‐CM Code
ICD‐10‐CM Code
ICD‐10‐CM Code Description
Broken prosthetic joint implant 99643 T84019A Broken internal joint prosthesis, unsp site, init encntr
Dislocation of prosthetic joint 99642 T84029A Dislocation of unsp internal joint prosthesis, init encntr
Mechanical loosening of prosthetic joint 99641 T84039A Mechanical loosening of unsp internal prosthetic joint, init
Infection and inflammatory reaction due to other vascular device, implant, and graft 99662 T827XXA
Infect/inflm react d/t oth cardi/vasc dev/implnt/grft, init
Infection and inflammatory reaction due to other vascular device, implant, and graft 99662 T827XXA
Infect/inflm react d/t oth cardi/vasc dev/implnt/grft, init
Infection and inflammatory reaction due to other internal orthopedic device, implant, and graft 99667 T847XXA
Infect/inflm react due to oth int orth prosth dev/grft, init
Infection and inflammatory reaction due to other internal orthopedic device, implant, and graft 99667 T8460XA
Infect/inflm reaction due to int fix of unsp site, init
Other aftercare involving internal fixation device V5409 Z5189
Encounter for other specified aftercare
Encounter for lengthening/adjustment of growth rod V5402 Z5189
Encounter for other specified aftercare
Other aftercare involving internal fixation device V5409 Z5189
Encounter for other specified aftercare
Encounter for lengthening/adjustment of growth rod V5402 Z5189
Encounter for other specified aftercare
Encounter for removal of internal fixation device V5401 Z472
Encounter for removal of internal fixation device
Q-METRIC Overuse of Imaging, Measure 7, Ratio of MRI to CT for Seizure U18HS020516
Page 155 Submitted January 2016