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S04 ICD-10-CM Code: Injury of cranial nerve

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the head (S00-S09)

S04

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Injury of cranial nerve

Injury of cranial nerve

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S0Injuries to the head (S00-S09)
S04Injury of cranial nerve

Inclusion Terms

Official
  • The selection of side should be based on the side of the body being affected

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S04 in this effective period.

Related Child Codes

Official
S04.0Injury of optic nerve and pathways
S04.1Injury of oculomotor nerve
S04.2Injury of trochlear nerve
S04.3Injury of trigeminal nerve
S04.4Injury of abducent nerve

Includes

Official

ICD-10-CM does not list Includes notes for S04 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S04 in this effective period.

Code First

Official
  • any associated intracranial injury (S06.-)

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S04 in this effective period.

Code Also

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

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

S04 is the ICD-10-CM diagnosis code for injury of cranial nerve. S04 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the head (s00-s09).

Header codes like S04 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S04's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S04 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Code First

  • any associated intracranial injury (S06.-)

Code Also

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

Child Codes

Code Hierarchy

S04Injury of cranial nerve
S04Injury of cranial nerve

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