S00-T882198 V28 risk-adjusting codes
Injury, poisoning and certain other consequences of external causes
ICD-10-CM Chapter 19 (S00-T88) in the FY2026 code set. 2198 codes in this chapter map to a CMS-HCC V28 payment category, across 21 HCC categories.
CMS-HCC V28 categories in this chapter (21)
Open any category for its full member-code list, RAF, and hierarchy.
- HCC 402 Hip Fracture/Dislocation703
- HCC 401 Vertebral Fractures without Spinal Cord Injury328
- HCC 155 Major Depression, Moderate or Severe, without Psychosis323
- HCC 399 Major Head Injury without Loss of Consciousness188
- HCC 182 Spinal Cord Disorders/Injuries181
- HCC 405 Traumatic Amputations and Complications108
- HCC 385 Severe Skin Burn or Condition90
- HCC 397 Major Head Injury with Loss of Consciousness > 1 Hour76
- HCC 398 Major Head Injury with Loss of Consciousness < 1 Hour or Unspecified57
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications40
- HCC 180 Quadriplegia27
- HCC 409 Amputation Status, Lower Limb/Amputation Complications18
- HCC 181 Paraplegia15
- HCC 221 Heart Transplant Status/Complications11
- HCC 276 Lung Transplant Status/Complications10
- HCC 454 Stem Cell, Including Bone Marrow, Transplant Status/Complications6
- HCC 62 Liver Transplant Status/Complications5
- HCC 77 Intestine Transplant Status/Complications5
- HCC 223 Heart Assist Device/Artificial Heart4
- HCC 267 Deep Vein Thrombosis and Pulmonary Embolism2
- HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock1
Risk-adjusting ICD-10-CM codes (showing 300 of 2198)
Codes in this chapter that map to a CMS-HCC V28 payment category. Open any code for its full detail.
- S02.0XXAFracture of vault of skull, initial encounter for closed fracture
- S02.0XXBFracture of vault of skull, initial encounter for open fracture
- S02.101AFracture of base of skull, right side, initial encounter for closed fracture
- S02.101BFracture of base of skull, right side, initial encounter for open fracture
- S02.102AFracture of base of skull, left side, initial encounter for closed fracture
- S02.102BFracture of base of skull, left side, initial encounter for open fracture
- S02.109AFracture of base of skull, unspecified side, initial encounter for closed fracture
- S02.109BFracture of base of skull, unspecified side, initial encounter for open fracture
- S02.110AType I occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.110BType I occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.111AType II occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.111BType II occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.112AType III occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.112BType III occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.113AUnspecified occipital condyle fracture, initial encounter for closed fracture
- S02.113BUnspecified occipital condyle fracture, initial encounter for open fracture
- S02.118AOther fracture of occiput, unspecified side, initial encounter for closed fracture
- S02.118BOther fracture of occiput, unspecified side, initial encounter for open fracture
- S02.119AUnspecified fracture of occiput, initial encounter for closed fracture
- S02.119BUnspecified fracture of occiput, initial encounter for open fracture
- S02.11AAType I occipital condyle fracture, right side, initial encounter for closed fracture
- S02.11ABType I occipital condyle fracture, right side, initial encounter for open fracture
- S02.11BAType I occipital condyle fracture, left side, initial encounter for closed fracture
- S02.11BBType I occipital condyle fracture, left side, initial encounter for open fracture
- S02.11CAType II occipital condyle fracture, right side, initial encounter for closed fracture
- S02.11CBType II occipital condyle fracture, right side, initial encounter for open fracture
- S02.11DAType II occipital condyle fracture, left side, initial encounter for closed fracture
- S02.11DBType II occipital condyle fracture, left side, initial encounter for open fracture
- S02.11EAType III occipital condyle fracture, right side, initial encounter for closed fracture
- S02.11EBType III occipital condyle fracture, right side, initial encounter for open fracture
- S02.11FAType III occipital condyle fracture, left side, initial encounter for closed fracture
- S02.11FBType III occipital condyle fracture, left side, initial encounter for open fracture
- S02.11GAOther fracture of occiput, right side, initial encounter for closed fracture
- S02.11GBOther fracture of occiput, right side, initial encounter for open fracture
- S02.11HAOther fracture of occiput, left side, initial encounter for closed fracture
- S02.11HBOther fracture of occiput, left side, initial encounter for open fracture
- S02.121AFracture of orbital roof, right side, initial encounter for closed fracture
- S02.121BFracture of orbital roof, right side, initial encounter for open fracture
- S02.122AFracture of orbital roof, left side, initial encounter for closed fracture
- S02.122BFracture of orbital roof, left side, initial encounter for open fracture
- S02.129AFracture of orbital roof, unspecified side, initial encounter for closed fracture
- S02.129BFracture of orbital roof, unspecified side, initial encounter for open fracture
- S02.19XAOther fracture of base of skull, initial encounter for closed fracture
- S02.19XBOther fracture of base of skull, initial encounter for open fracture
- S02.30XAFracture of orbital floor, unspecified side, initial encounter for closed fracture
- S02.30XBFracture of orbital floor, unspecified side, initial encounter for open fracture
- S02.31XAFracture of orbital floor, right side, initial encounter for closed fracture
- S02.31XBFracture of orbital floor, right side, initial encounter for open fracture
- S02.32XAFracture of orbital floor, left side, initial encounter for closed fracture
- S02.32XBFracture of orbital floor, left side, initial encounter for open fracture
- S02.400AMalar fracture, unspecified side, initial encounter for closed fracture
- S02.400BMalar fracture, unspecified side, initial encounter for open fracture
- S02.401AMaxillary fracture, unspecified side, initial encounter for closed fracture
- S02.401BMaxillary fracture, unspecified side, initial encounter for open fracture
- S02.402AZygomatic fracture, unspecified side, initial encounter for closed fracture
- S02.402BZygomatic fracture, unspecified side, initial encounter for open fracture
- S02.40AAMalar fracture, right side, initial encounter for closed fracture
- S02.40ABMalar fracture, right side, initial encounter for open fracture
- S02.40BAMalar fracture, left side, initial encounter for closed fracture
- S02.40BBMalar fracture, left side, initial encounter for open fracture
- S02.40CAMaxillary fracture, right side, initial encounter for closed fracture
- S02.40CBMaxillary fracture, right side, initial encounter for open fracture
- S02.40DAMaxillary fracture, left side, initial encounter for closed fracture
- S02.40DBMaxillary fracture, left side, initial encounter for open fracture
- S02.40EAZygomatic fracture, right side, initial encounter for closed fracture
- S02.40EBZygomatic fracture, right side, initial encounter for open fracture
- S02.40FAZygomatic fracture, left side, initial encounter for closed fracture
- S02.40FBZygomatic fracture, left side, initial encounter for open fracture
- S02.411ALeFort I fracture, initial encounter for closed fracture
- S02.411BLeFort I fracture, initial encounter for open fracture
- S02.412ALeFort II fracture, initial encounter for closed fracture
- S02.412BLeFort II fracture, initial encounter for open fracture
- S02.413ALeFort III fracture, initial encounter for closed fracture
- S02.413BLeFort III fracture, initial encounter for open fracture
- S02.42XAFracture of alveolus of maxilla, initial encounter for closed fracture
- S02.42XBFracture of alveolus of maxilla, initial encounter for open fracture
- S02.600AFracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture
- S02.600BFracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture
- S02.601AFracture of unspecified part of body of right mandible, initial encounter for closed fracture
- S02.601BFracture of unspecified part of body of right mandible, initial encounter for open fracture
- S02.602AFracture of unspecified part of body of left mandible, initial encounter for closed fracture
- S02.602BFracture of unspecified part of body of left mandible, initial encounter for open fracture
- S02.609AFracture of mandible, unspecified, initial encounter for closed fracture
- S02.609BFracture of mandible, unspecified, initial encounter for open fracture
- S02.610AFracture of condylar process of mandible, unspecified side, initial encounter for closed fracture
- S02.610BFracture of condylar process of mandible, unspecified side, initial encounter for open fracture
- S02.611AFracture of condylar process of right mandible, initial encounter for closed fracture
- S02.611BFracture of condylar process of right mandible, initial encounter for open fracture
- S02.612AFracture of condylar process of left mandible, initial encounter for closed fracture
- S02.612BFracture of condylar process of left mandible, initial encounter for open fracture
- S02.620AFracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture
- S02.620BFracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture
- S02.621AFracture of subcondylar process of right mandible, initial encounter for closed fracture
- S02.621BFracture of subcondylar process of right mandible, initial encounter for open fracture
- S02.622AFracture of subcondylar process of left mandible, initial encounter for closed fracture
- S02.622BFracture of subcondylar process of left mandible, initial encounter for open fracture
- S02.630AFracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture
- S02.630BFracture of coronoid process of mandible, unspecified side, initial encounter for open fracture
- S02.631AFracture of coronoid process of right mandible, initial encounter for closed fracture
- S02.631BFracture of coronoid process of right mandible, initial encounter for open fracture
- S02.632AFracture of coronoid process of left mandible, initial encounter for closed fracture
- S02.632BFracture of coronoid process of left mandible, initial encounter for open fracture
- S02.640AFracture of ramus of mandible, unspecified side, initial encounter for closed fracture
- S02.640BFracture of ramus of mandible, unspecified side, initial encounter for open fracture
- S02.641AFracture of ramus of right mandible, initial encounter for closed fracture
- S02.641BFracture of ramus of right mandible, initial encounter for open fracture
- S02.642AFracture of ramus of left mandible, initial encounter for closed fracture
- S02.642BFracture of ramus of left mandible, initial encounter for open fracture
- S02.650AFracture of angle of mandible, unspecified side, initial encounter for closed fracture
- S02.650BFracture of angle of mandible, unspecified side, initial encounter for open fracture
- S02.651AFracture of angle of right mandible, initial encounter for closed fracture
- S02.651BFracture of angle of right mandible, initial encounter for open fracture
- S02.652AFracture of angle of left mandible, initial encounter for closed fracture
- S02.652BFracture of angle of left mandible, initial encounter for open fracture
- S02.66XAFracture of symphysis of mandible, initial encounter for closed fracture
- S02.66XBFracture of symphysis of mandible, initial encounter for open fracture
- S02.670AFracture of alveolus of mandible, unspecified side, initial encounter for closed fracture
- S02.670BFracture of alveolus of mandible, unspecified side, initial encounter for open fracture
- S02.671AFracture of alveolus of right mandible, initial encounter for closed fracture
- S02.671BFracture of alveolus of right mandible, initial encounter for open fracture
- S02.672AFracture of alveolus of left mandible, initial encounter for closed fracture
- S02.672BFracture of alveolus of left mandible, initial encounter for open fracture
- S02.69XAFracture of mandible of other specified site, initial encounter for closed fracture
- S02.69XBFracture of mandible of other specified site, initial encounter for open fracture
- S02.80XAFracture of other specified skull and facial bones, unspecified side, initial encounter for closed fracture
- S02.80XBFracture of other specified skull and facial bones, unspecified side, initial encounter for open fracture
- S02.81XAFracture of other specified skull and facial bones, right side, initial encounter for closed fracture
- S02.81XBFracture of other specified skull and facial bones, right side, initial encounter for open fracture
- S02.82XAFracture of other specified skull and facial bones, left side, initial encounter for closed fracture
- S02.82XBFracture of other specified skull and facial bones, left side, initial encounter for open fracture
- S02.831AFracture of medial orbital wall, right side, initial encounter for closed fracture
- S02.831BFracture of medial orbital wall, right side, initial encounter for open fracture
- S02.832AFracture of medial orbital wall, left side, initial encounter for closed fracture
- S02.832BFracture of medial orbital wall, left side, initial encounter for open fracture
- S02.839AFracture of medial orbital wall, unspecified side, initial encounter for closed fracture
- S02.839BFracture of medial orbital wall, unspecified side, initial encounter for open fracture
- S02.841AFracture of lateral orbital wall, right side, initial encounter for closed fracture
- S02.841BFracture of lateral orbital wall, right side, initial encounter for open fracture
- S02.842AFracture of lateral orbital wall, left side, initial encounter for closed fracture
- S02.842BFracture of lateral orbital wall, left side, initial encounter for open fracture
- S02.849AFracture of lateral orbital wall, unspecified side, initial encounter for closed fracture
- S02.849BFracture of lateral orbital wall, unspecified side, initial encounter for open fracture
- S02.85XAFracture of orbit, unspecified, initial encounter for closed fracture
- S02.85XBFracture of orbit, unspecified, initial encounter for open fracture
- S02.91XAUnspecified fracture of skull, initial encounter for closed fracture
- S02.91XBUnspecified fracture of skull, initial encounter for open fracture
- S02.92XAUnspecified fracture of facial bones, initial encounter for closed fracture
- S02.92XBUnspecified fracture of facial bones, initial encounter for open fracture
- S06.1X0ATraumatic cerebral edema without loss of consciousness, initial encounter
- S06.1X1ATraumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter
- S06.1X2ATraumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.1X3ATraumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.1X4ATraumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.1X5ATraumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.1X6ATraumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.1X9ATraumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter
- S06.1XAATraumatic cerebral edema with loss of consciousness status unknown, initial encounter
- S06.2X0ADiffuse traumatic brain injury without loss of consciousness, initial encounter
- S06.2X1ADiffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter
- S06.2X2ADiffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.2X3ADiffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.2X4ADiffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.2X5ADiffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounter
- S06.2X6ADiffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.2X9ADiffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter
- S06.2XAADiffuse traumatic brain injury with loss of consciousness status unknown, initial encounter
- S06.300AUnspecified focal traumatic brain injury without loss of consciousness, initial encounter
- S06.301AUnspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter
- S06.302AUnspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.303AUnspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.304AUnspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.305AUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.306AUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.309AUnspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounter
- S06.30AAUnspecified focal traumatic brain injury with loss of consciousness status unknown, initial encounter
- S06.310AContusion and laceration of right cerebrum without loss of consciousness, initial encounter
- S06.311AContusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter
- S06.312AContusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.313AContusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.314AContusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.315AContusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.316AContusion 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
- S06.319AContusion and laceration of right cerebrum with loss of consciousness of unspecified duration, initial encounter
- S06.31AAContusion and laceration of right cerebrum with loss of consciousness status unknown, initial encounter
- S06.320AContusion and laceration of left cerebrum without loss of consciousness, initial encounter
- S06.321AContusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter
- S06.322AContusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.323AContusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.324AContusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.325AContusion and laceration of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.326AContusion 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
- S06.329AContusion and laceration of left cerebrum with loss of consciousness of unspecified duration, initial encounter
- S06.32AAContusion and laceration of left cerebrum with loss of consciousness status unknown, initial encounter
- S06.330AContusion and laceration of cerebrum, unspecified, without loss of consciousness, initial encounter
- S06.331AContusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter
- S06.332AContusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.333AContusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.334AContusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.335AContusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.336AContusion 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
- S06.339AContusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter
- S06.33AAContusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter
- S06.340ATraumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter
- S06.341ATraumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter
- S06.342ATraumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.343ATraumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter
- S06.344ATraumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.345ATraumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.346ATraumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.349ATraumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, initial encounter
- S06.34AATraumatic hemorrhage of right cerebrum with loss of consciousness status unknown, initial encounter
- S06.350ATraumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter
- S06.351ATraumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter
- S06.352ATraumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.353ATraumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter
- S06.354ATraumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.355ATraumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.356ATraumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.359ATraumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, initial encounter
- S06.35AATraumatic hemorrhage of left cerebrum with loss of consciousness status unknown, initial encounter
- S06.360ATraumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter
- S06.361ATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter
- S06.362ATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.363ATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter
- S06.364ATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.365ATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.366ATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.369ATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter
- S06.36AATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter
- S06.370AContusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter
- S06.371AContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter
- S06.372AContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.373AContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.374AContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.375AContusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.376AContusion, 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
- S06.379AContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, initial encounter
- S06.37AAContusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown, initial encounter
- S06.380AContusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter
- S06.381AContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, initial encounter
- S06.382AContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.383AContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.384AContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.385AContusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.386AContusion, 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
- S06.389AContusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration, initial encounter
- S06.38AAContusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, initial encounter
- S06.4X0AEpidural hemorrhage without loss of consciousness, initial encounter
- S06.4X1AEpidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
- S06.4X2AEpidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.4X3AEpidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.4X4AEpidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.4X5AEpidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.4X6AEpidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.4X9AEpidural hemorrhage with loss of consciousness of unspecified duration, initial encounter
- S06.4XAAEpidural hemorrhage with loss of consciousness status unknown, initial encounter
- S06.5X0ATraumatic subdural hemorrhage without loss of consciousness, initial encounter
- S06.5X1ATraumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
- S06.5X2ATraumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.5X3ATraumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.5X4ATraumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.5X5ATraumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.5X6ATraumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.5X9ATraumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter
- S06.5XAATraumatic subdural hemorrhage with loss of consciousness status unknown, initial encounter
- S06.6X0ATraumatic subarachnoid hemorrhage without loss of consciousness, initial encounter
- S06.6X1ATraumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
- S06.6X2ATraumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.6X3ATraumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.6X4ATraumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.6X5ATraumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.6X6ATraumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.6X9ATraumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter
- S06.6XAATraumatic subarachnoid hemorrhage with loss of consciousness status unknown, initial encounter
- S06.810AInjury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter
- S06.811AInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter
- S06.812AInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.813AInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.814AInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.815AInjury 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
- S06.816AInjury 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
- S06.819AInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter
- S06.81AAInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter
- S06.820AInjury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter
- S06.821AInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter
- S06.822AInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.823AInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.824AInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.825AInjury 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
- S06.826AInjury 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
- S06.829AInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter
- S06.82AAInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter
- S06.890AOther specified intracranial injury without loss of consciousness, initial encounter
- S06.891AOther specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter
- S06.892AOther specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.893AOther specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
- S06.894AOther specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter
- S06.895AOther specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
- S06.896AOther specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
- S06.899AOther specified intracranial injury with loss of consciousness of unspecified duration, initial encounter
Frequently asked questions
How many ICD-10-CM codes in Injury, poisoning and certain other consequences of external causes risk-adjust under CMS-HCC V28?
2198 ICD-10-CM codes in the S00-T88 chapter (Injury, poisoning and certain other consequences of external causes) map to a CMS-HCC V28 payment category for payment year 2026.
Which CMS-HCC V28 categories do S00-T88 codes map to?
Codes in this chapter map to 21 distinct CMS-HCC V28 categories, most commonly HCC 402 (Hip Fracture/Dislocation), HCC 401 (Vertebral Fractures without Spinal Cord Injury), HCC 155 (Major Depression, Moderate or Severe, without Psychosis).
What ICD-10-CM chapter is S00-T88?
S00-T88 is ICD-10-CM Chapter 19, Injury, poisoning and certain other consequences of external causes, in the FY2026 code set.
Source: FY2026 ICD-10-CM Tabular (CDC/NCHS) and the CMS-HCC v28 PY2026 mapping file.