2020 ICD-10-CM Diagnosis Code S06.4

Epidural hemorrhage

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • S06.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM S06.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S06.4 - other international versions of ICD-10 S06.4 may differ.
Applicable To
  • Extradural hemorrhage NOS
  • Extradural hemorrhage (traumatic)
The following code(s) above S06.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to S06.4:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S00-S09
    2020 ICD-10-CM Range S00-S09

    Injuries to the head

    Code Also
    • for any associated infection
    Includes
    • injuries of ear
    • injuries of eye
    • injuries of face [any part]
    • injuries of gum
    • injuries of jaw
    • injuries of oral cavity
    • injuries of palate
    • injuries of periocular area
    • injuries of scalp
    • injuries of temporomandibular joint area
    • injuries of tongue
    • injuries of tooth
    Type 2 Excludes
    • burns and corrosions (T20-T32)
    • effects of foreign body in ear (T16)
    • effects of foreign body in larynx (T17.3)
    • effects of foreign body in mouth NOS (T18.0)
    • effects of foreign body in nose (T17.0-T17.1)
    • effects of foreign body in pharynx (T17.2)
    • effects of foreign body on external eye (T15.-)
    • frostbite (T33-T34)
    • insect bite or sting, venomous (T63.4)
    Injuries to the head
  • S06
    ICD-10-CM Diagnosis Code S06

    Intracranial injury

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • any associated:
    • open wound of head (S01.-)
    • skull fracture (S02.-)
    Includes
    • traumatic brain injury
    Note
    • 7th characters D and S do not apply to codes in category S06 with 6th character 7 - death due to brain injury prior to regaining consciousness, or 8 - death due to other cause prior to regaining consciousness.
    Type 1 Excludes
    Intracranial injury
Clinical Information
  • Accumulation of blood in the epidural space between the skull and the dura mater, often as a result of bleeding from the meningeal arteries associated with a temporal or parietal bone fracture. Epidural hematoma tends to expand rapidly, compressing the dura and underlying brain. Clinical features may include headache; vomiting; hemiparesis; and impaired mental function.
  • Bleeding into the intracranial extradural space
  • Intracranial hemorrhage into the epidural space.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to S06.4:
  • Type 1 Excludes: S06.3
    ICD-10-CM Diagnosis Code S06.3

    Focal traumatic brain injury

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
ICD-10-CM Codes Adjacent To S06.4
S06.386D …… subsequent encounter
S06.386S …… sequela
S06.387 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness
S06.387A …… initial encounter
S06.388 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to other cause prior to regaining consciousness
S06.388A …… initial encounter
S06.389 Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration
S06.389A …… initial encounter
S06.389D …… subsequent encounter
S06.389S …… sequela
S06.4 Epidural hemorrhage
S06.4X Epidural hemorrhage
S06.4X0 Epidural hemorrhage without loss of consciousness
S06.4X0A …… initial encounter
S06.4X0D …… subsequent encounter
S06.4X0S …… sequela
S06.4X1 Epidural hemorrhage with loss of consciousness of 30 minutes or less
S06.4X1A …… initial encounter
S06.4X1D …… subsequent encounter
S06.4X1S …… sequela
S06.4X2 Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.