HCC 399 (V28)
Major Head Injury without Loss of Consciousness
189 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs
Overridden by: HCC 397 (Major Head Injury with Loss of Consciousness > 1 Hour), HCC 398 (Major Head Injury with Loss of Consciousness < 1 Hour or Unspecified). If the patient also has one of these, only the higher HCC counts.
| P12.2 | Epicranial subaponeurotic hemorrhage due to birth injury |
| S02.0XXA | Fracture of vault of skull, initial encounter for closed fracture |
| S02.0XXB | Fracture of vault of skull, initial encounter for open fracture |
| S02.101A | Fracture of base of skull, right side, initial encounter for closed fracture |
| S02.101B | Fracture of base of skull, right side, initial encounter for open fracture |
| S02.102A | Fracture of base of skull, left side, initial encounter for closed fracture |
| S02.102B | Fracture of base of skull, left side, initial encounter for open fracture |
| S02.109A | Fracture of base of skull, unspecified side, initial encounter for closed fracture |
| S02.109B | Fracture of base of skull, unspecified side, initial encounter for open fracture |
| S02.110A | Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02.110B | Type I occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02.111A | Type II occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02.111B | Type II occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02.112A | Type III occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02.112B | Type III occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02.113A | Unspecified occipital condyle fracture, initial encounter for closed fracture |
| S02.113B | Unspecified occipital condyle fracture, initial encounter for open fracture |
| S02.118A | Other fracture of occiput, unspecified side, initial encounter for closed fracture |
| S02.118B | Other fracture of occiput, unspecified side, initial encounter for open fracture |
| S02.119A | Unspecified fracture of occiput, initial encounter for closed fracture |
| S02.119B | Unspecified fracture of occiput, initial encounter for open fracture |
| S02.11AA | Type I occipital condyle fracture, right side, initial encounter for closed fracture |
| S02.11AB | Type I occipital condyle fracture, right side, initial encounter for open fracture |
| S02.11BA | Type I occipital condyle fracture, left side, initial encounter for closed fracture |
| S02.11BB | Type I occipital condyle fracture, left side, initial encounter for open fracture |
| S02.11CA | Type II occipital condyle fracture, right side, initial encounter for closed fracture |
| S02.11CB | Type II occipital condyle fracture, right side, initial encounter for open fracture |
| S02.11DA | Type II occipital condyle fracture, left side, initial encounter for closed fracture |
| S02.11DB | Type II occipital condyle fracture, left side, initial encounter for open fracture |
| S02.11EA | Type III occipital condyle fracture, right side, initial encounter for closed fracture |
| S02.11EB | Type III occipital condyle fracture, right side, initial encounter for open fracture |
| S02.11FA | Type III occipital condyle fracture, left side, initial encounter for closed fracture |
| S02.11FB | Type III occipital condyle fracture, left side, initial encounter for open fracture |
| S02.11GA | Other fracture of occiput, right side, initial encounter for closed fracture |
| S02.11GB | Other fracture of occiput, right side, initial encounter for open fracture |
| S02.11HA | Other fracture of occiput, left side, initial encounter for closed fracture |
| S02.11HB | Other fracture of occiput, left side, initial encounter for open fracture |
| S02.121A | Fracture of orbital roof, right side, initial encounter for closed fracture |
| S02.121B | Fracture of orbital roof, right side, initial encounter for open fracture |
| S02.122A | Fracture of orbital roof, left side, initial encounter for closed fracture |
| S02.122B | Fracture of orbital roof, left side, initial encounter for open fracture |
| S02.129A | Fracture of orbital roof, unspecified side, initial encounter for closed fracture |
| S02.129B | Fracture of orbital roof, unspecified side, initial encounter for open fracture |
| S02.19XA | Other fracture of base of skull, initial encounter for closed fracture |
| S02.19XB | Other fracture of base of skull, initial encounter for open fracture |
| S02.30XA | Fracture of orbital floor, unspecified side, initial encounter for closed fracture |
| S02.30XB | Fracture of orbital floor, unspecified side, initial encounter for open fracture |
| S02.31XA | Fracture of orbital floor, right side, initial encounter for closed fracture |
| S02.31XB | Fracture of orbital floor, right side, initial encounter for open fracture |
| S02.32XA | Fracture of orbital floor, left side, initial encounter for closed fracture |
| S02.32XB | Fracture of orbital floor, left side, initial encounter for open fracture |
| S02.400A | Malar fracture, unspecified side, initial encounter for closed fracture |
| S02.400B | Malar fracture, unspecified side, initial encounter for open fracture |
| S02.401A | Maxillary fracture, unspecified side, initial encounter for closed fracture |
| S02.401B | Maxillary fracture, unspecified side, initial encounter for open fracture |
| S02.402A | Zygomatic fracture, unspecified side, initial encounter for closed fracture |
| S02.402B | Zygomatic fracture, unspecified side, initial encounter for open fracture |
| S02.40AA | Malar fracture, right side, initial encounter for closed fracture |
| S02.40AB | Malar fracture, right side, initial encounter for open fracture |
| S02.40BA | Malar fracture, left side, initial encounter for closed fracture |
| S02.40BB | Malar fracture, left side, initial encounter for open fracture |
| S02.40CA | Maxillary fracture, right side, initial encounter for closed fracture |
| S02.40CB | Maxillary fracture, right side, initial encounter for open fracture |
| S02.40DA | Maxillary fracture, left side, initial encounter for closed fracture |
| S02.40DB | Maxillary fracture, left side, initial encounter for open fracture |
| S02.40EA | Zygomatic fracture, right side, initial encounter for closed fracture |
| S02.40EB | Zygomatic fracture, right side, initial encounter for open fracture |
| S02.40FA | Zygomatic fracture, left side, initial encounter for closed fracture |
| S02.40FB | Zygomatic fracture, left side, initial encounter for open fracture |
| S02.411A | LeFort I fracture, initial encounter for closed fracture |
| S02.411B | LeFort I fracture, initial encounter for open fracture |
| S02.412A | LeFort II fracture, initial encounter for closed fracture |
| S02.412B | LeFort II fracture, initial encounter for open fracture |
| S02.413A | LeFort III fracture, initial encounter for closed fracture |
| S02.413B | LeFort III fracture, initial encounter for open fracture |
| S02.42XA | Fracture of alveolus of maxilla, initial encounter for closed fracture |
| S02.42XB | Fracture of alveolus of maxilla, initial encounter for open fracture |
| S02.600A | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture |
| S02.600B | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture |
| S02.601A | Fracture of unspecified part of body of right mandible, initial encounter for closed fracture |
| S02.601B | Fracture of unspecified part of body of right mandible, initial encounter for open fracture |
| S02.602A | Fracture of unspecified part of body of left mandible, initial encounter for closed fracture |
| S02.602B | Fracture of unspecified part of body of left mandible, initial encounter for open fracture |
| S02.609A | Fracture of mandible, unspecified, initial encounter for closed fracture |
| S02.609B | Fracture of mandible, unspecified, initial encounter for open fracture |
| S02.610A | Fracture of condylar process of mandible, unspecified side, initial encounter for closed fracture |
| S02.610B | Fracture of condylar process of mandible, unspecified side, initial encounter for open fracture |
| S02.611A | Fracture of condylar process of right mandible, initial encounter for closed fracture |
| S02.611B | Fracture of condylar process of right mandible, initial encounter for open fracture |
| S02.612A | Fracture of condylar process of left mandible, initial encounter for closed fracture |
| S02.612B | Fracture of condylar process of left mandible, initial encounter for open fracture |
| S02.620A | Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture |
| S02.620B | Fracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture |
| S02.621A | Fracture of subcondylar process of right mandible, initial encounter for closed fracture |
| S02.621B | Fracture of subcondylar process of right mandible, initial encounter for open fracture |
| S02.622A | Fracture of subcondylar process of left mandible, initial encounter for closed fracture |
| S02.622B | Fracture of subcondylar process of left mandible, initial encounter for open fracture |
| S02.630A | Fracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture |
| S02.630B | Fracture of coronoid process of mandible, unspecified side, initial encounter for open fracture |
| S02.631A | Fracture of coronoid process of right mandible, initial encounter for closed fracture |
| S02.631B | Fracture of coronoid process of right mandible, initial encounter for open fracture |
| S02.632A | Fracture of coronoid process of left mandible, initial encounter for closed fracture |
| S02.632B | Fracture of coronoid process of left mandible, initial encounter for open fracture |
| S02.640A | Fracture of ramus of mandible, unspecified side, initial encounter for closed fracture |
| S02.640B | Fracture of ramus of mandible, unspecified side, initial encounter for open fracture |
| S02.641A | Fracture of ramus of right mandible, initial encounter for closed fracture |
| S02.641B | Fracture of ramus of right mandible, initial encounter for open fracture |
| S02.642A | Fracture of ramus of left mandible, initial encounter for closed fracture |
| S02.642B | Fracture of ramus of left mandible, initial encounter for open fracture |
| S02.650A | Fracture of angle of mandible, unspecified side, initial encounter for closed fracture |
| S02.650B | Fracture of angle of mandible, unspecified side, initial encounter for open fracture |
| S02.651A | Fracture of angle of right mandible, initial encounter for closed fracture |
| S02.651B | Fracture of angle of right mandible, initial encounter for open fracture |
| S02.652A | Fracture of angle of left mandible, initial encounter for closed fracture |
| S02.652B | Fracture of angle of left mandible, initial encounter for open fracture |
| S02.66XA | Fracture of symphysis of mandible, initial encounter for closed fracture |
| S02.66XB | Fracture of symphysis of mandible, initial encounter for open fracture |
| S02.670A | Fracture of alveolus of mandible, unspecified side, initial encounter for closed fracture |
| S02.670B | Fracture of alveolus of mandible, unspecified side, initial encounter for open fracture |
| S02.671A | Fracture of alveolus of right mandible, initial encounter for closed fracture |
| S02.671B | Fracture of alveolus of right mandible, initial encounter for open fracture |
| S02.672A | Fracture of alveolus of left mandible, initial encounter for closed fracture |
| S02.672B | Fracture of alveolus of left mandible, initial encounter for open fracture |
| S02.69XA | Fracture of mandible of other specified site, initial encounter for closed fracture |
| S02.69XB | Fracture of mandible of other specified site, initial encounter for open fracture |
| S02.80XA | Fracture of other specified skull and facial bones, unspecified side, initial encounter for closed fracture |
| S02.80XB | Fracture of other specified skull and facial bones, unspecified side, initial encounter for open fracture |
| S02.81XA | Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture |
| S02.81XB | Fracture of other specified skull and facial bones, right side, initial encounter for open fracture |
| S02.82XA | Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture |
| S02.82XB | Fracture of other specified skull and facial bones, left side, initial encounter for open fracture |
| S02.831A | Fracture of medial orbital wall, right side, initial encounter for closed fracture |
| S02.831B | Fracture of medial orbital wall, right side, initial encounter for open fracture |
| S02.832A | Fracture of medial orbital wall, left side, initial encounter for closed fracture |
| S02.832B | Fracture of medial orbital wall, left side, initial encounter for open fracture |
| S02.839A | Fracture of medial orbital wall, unspecified side, initial encounter for closed fracture |
| S02.839B | Fracture of medial orbital wall, unspecified side, initial encounter for open fracture |
| S02.841A | Fracture of lateral orbital wall, right side, initial encounter for closed fracture |
| S02.841B | Fracture of lateral orbital wall, right side, initial encounter for open fracture |
| S02.842A | Fracture of lateral orbital wall, left side, initial encounter for closed fracture |
| S02.842B | Fracture of lateral orbital wall, left side, initial encounter for open fracture |
| S02.849A | Fracture of lateral orbital wall, unspecified side, initial encounter for closed fracture |
| S02.849B | Fracture of lateral orbital wall, unspecified side, initial encounter for open fracture |
| S02.85XA | Fracture of orbit, unspecified, initial encounter for closed fracture |
| S02.85XB | Fracture of orbit, unspecified, initial encounter for open fracture |
| S02.91XA | Unspecified fracture of skull, initial encounter for closed fracture |
| S02.91XB | Unspecified fracture of skull, initial encounter for open fracture |
| S02.92XA | Unspecified fracture of facial bones, initial encounter for closed fracture |
| S02.92XB | Unspecified fracture of facial bones, initial encounter for open fracture |
| S06.1X0A | Traumatic cerebral edema without loss of consciousness, initial encounter |
| S06.1XAA | Traumatic cerebral edema with loss of consciousness status unknown, initial encounter |
| S06.2X0A | Diffuse traumatic brain injury without loss of consciousness, initial encounter |
| S06.2XAA | Diffuse traumatic brain injury with loss of consciousness status unknown, initial encounter |
| S06.300A | Unspecified focal traumatic brain injury without loss of consciousness, initial encounter |
| S06.30AA | Unspecified focal traumatic brain injury with loss of consciousness status unknown, initial encounter |
| S06.310A | Contusion and laceration of right cerebrum without loss of consciousness, initial encounter |
| S06.31AA | Contusion and laceration of right cerebrum with loss of consciousness status unknown, initial encounter |
| S06.320A | Contusion and laceration of left cerebrum without loss of consciousness, initial encounter |
| S06.32AA | Contusion and laceration of left cerebrum with loss of consciousness status unknown, initial encounter |
| S06.330A | Contusion and laceration of cerebrum, unspecified, without loss of consciousness, initial encounter |
| S06.33AA | Contusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter |
| S06.340A | Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter |
| S06.34AA | Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, initial encounter |
| S06.350A | Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter |
| S06.35AA | Traumatic hemorrhage of left cerebrum with loss of consciousness status unknown, initial encounter |
| S06.360A | Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter |
| S06.36AA | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter |
| S06.370A | Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter |
| S06.37AA | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown, initial encounter |
| S06.380A | Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter |
| S06.38AA | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, initial encounter |
| S06.4X0A | Epidural hemorrhage without loss of consciousness, initial encounter |
| S06.4XAA | Epidural hemorrhage with loss of consciousness status unknown, initial encounter |
| S06.5X0A | Traumatic subdural hemorrhage without loss of consciousness, initial encounter |
| S06.5XAA | Traumatic subdural hemorrhage with loss of consciousness status unknown, initial encounter |
| S06.6X0A | Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter |
| S06.6XAA | Traumatic subarachnoid hemorrhage with loss of consciousness status unknown, initial encounter |
| S06.810A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter |
| S06.81AA | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter |
| S06.820A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter |
| S06.82AA | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter |
| S06.890A | Other specified intracranial injury without loss of consciousness, initial encounter |
| S06.89AA | Other specified intracranial injury with loss of consciousness status unknown, initial encounter |
| S06.8A0A | Primary blast injury of brain, not elsewhere classified without loss of consciousness, initial encounter |
| S06.8AAA | Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, initial encounter |
| S06.9X0A | Unspecified intracranial injury without loss of consciousness, initial encounter |
| S06.9XAA | Unspecified intracranial injury with loss of consciousness status unknown, initial encounter |
| S06.A0XA | Traumatic brain compression without herniation, initial encounter |
| S06.A1XA | Traumatic brain compression with herniation, initial encounter |
