HCC 397 (V28)
Major Head Injury with Loss of Consciousness > 1 Hour
76 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs
Overrides: HCC 202 (Coma, Brain Compression/Anoxic Damage), HCC 398 (Major Head Injury with Loss of Consciousness < 1 Hour or Unspecified), HCC 399 (Major Head Injury without Loss of Consciousness).
| S06.1X3A | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.1X4A | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.1X5A | Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.1X6A | Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.2X3A | Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.2X4A | Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.2X5A | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounter |
| S06.2X6A | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.303A | Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.304A | Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.305A | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.306A | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.313A | Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.314A | Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.315A | Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.316A | Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.323A | Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.324A | Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.325A | Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.326A | Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.333A | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.334A | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.335A | Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.336A | Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.343A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter |
| S06.344A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.345A | Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.346A | Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.353A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter |
| S06.354A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.355A | Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.356A | Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.363A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter |
| S06.364A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.365A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.366A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.373A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.374A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.375A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.376A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.383A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.384A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.385A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.386A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.4X3A | Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.4X4A | Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.4X5A | Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.4X6A | Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.5X3A | Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.5X4A | Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.5X5A | Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.5X6A | Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.6X3A | Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.6X4A | Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.6X5A | Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.6X6A | Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.813A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.814A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.815A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.816A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.823A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.824A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.825A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.826A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.893A | Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.894A | Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.895A | Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.896A | Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.8A3A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.8A4A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.8A5A | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.8A6A | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.9X3A | Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.9X4A | Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.9X5A | Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.9X6A | Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
