HCC 397 — Major Head Injury with Loss of Consciousness > 1 Hour | HealthCodeRef

HCC 397CMS-HCC V28

Major Head Injury with Loss of Consciousness > 1 Hour

ICD-10-CM codes mapped to HCC 397 (76)

S06.1X3ATraumatic cerebral edema w LOC of 1-5 hrs 59 min, init S06.1X4ATraumatic cerebral edema w LOC of 6 hours to 24 hours, init S06.1X5ATraumatic cerebral edema w LOC >24 hr w ret consc lev, init S06.1X6ATraum cerebral edema w LOC >24 hr w/o ret consc w surv, init S06.2X3ADiffuse TBI w loss of consciousness of 1-5 hrs 59 min, init S06.2X4ADiffuse TBI w LOC of 6 hours to 24 hours, init S06.2X5ADiffuse TBI w LOC >24 hr w return to conscious levels, init S06.2X6ADiffuse TBI w LOC >24 hr w/o ret consc w surv, init S06.303AUnsp focal TBI w LOC of 1-5 hrs 59 min, init S06.304AUnsp focal TBI w LOC of 6 hours to 24 hours, init S06.305AUnsp focal TBI w LOC >24 hr w ret consc lev, init S06.306AUnsp focal TBI w LOC >24 hr w/o ret consc w surv, init S06.313AContus/lac right cerebrum w LOC of 1-5 hrs 59 min, init S06.314AContus/lac right cerebrum w LOC of 6 hours to 24 hours, init S06.315AContus/lac right cerebrum w LOC >24 hr w ret consc lev, init S06.316AContus/lac r cereb w LOC >24 hr w/o ret consc w surv, init S06.323AContus/lac left cerebrum w LOC of 1-5 hrs 59 min, init S06.324AContus/lac left cerebrum w LOC of 6 hours to 24 hours, init S06.325AContus/lac left cerebrum w LOC >24 hr w ret consc lev, init S06.326AContus/lac l cereb w LOC >24 hr w/o ret consc w surv, init S06.333AContus/lac cereb, w LOC of 1-5 hrs 59 min, init S06.334AContus/lac cereb, w LOC of 6 hours to 24 hours, init S06.335AContus/lac cereb, w LOC >24 hr w ret consc lev, init S06.336AContus/lac cereb, w LOC >24 hr w/o ret consc w surv, init S06.343ATraum hemor right cerebrum w LOC of 1-5 hrs 59 minutes, init S06.344ATraum hemor right cerebrum w LOC of 6-24 hrs, init S06.345ATraum hemor r cereb w LOC >24 hr w ret consc lev, init S06.346ATraum hemor r cereb w LOC >24 hr w/o ret consc w surv, init S06.353ATraum hemor left cerebrum w LOC of 1-5 hrs 59 minutes, init S06.354ATraum hemor left cerebrum w LOC of 6 hours to 24 hours, init S06.355ATraum hemor left cerebrum w LOC >24 hr w ret consc lev, init S06.356ATraum hemor l cereb w LOC >24 hr w/o ret consc w surv, init S06.363ATraum hemor cereb, w LOC of 1-5 hrs 59 minutes, init S06.364ATraum hemor cereb, w LOC of 6 hours to 24 hours, init S06.365ATraum hemor cereb, w LOC >24 hr w ret consc lev, init S06.366ATraum hemor cereb, w LOC >24 hr w/o ret consc w surv, init S06.373AContus/lac/hem crblm w LOC of 1-5 hrs 59 min, init S06.374AContus/lac/hem crblm w LOC of 6 hours to 24 hours, init S06.375AContus/lac/hem crblm w LOC >24 hr w ret consc lev, init S06.376AContus/lac/hem crblm w LOC >24 hr w/o ret consc w surv, init S06.383AContus/lac/hem brainstem w LOC of 1-5 hrs 59 min, init S06.384AContus/lac/hem brainstem w LOC of 6 hours to 24 hours, init S06.385AContus/lac/hem brainstem w LOC >24 hr w ret consc lev, init S06.386AContus/lac/hem brnst w LOC >24 hr w/o ret consc w surv, init S06.4X3AEpidural hemorrhage w LOC of 1-5 hrs 59 min, init S06.4X4AEpidural hemorrhage w LOC of 6 hours to 24 hours, init S06.4X5AEpidural hemorrhage w LOC >24 hr w ret consc lev, init S06.4X6AEpidural hemorrhage w LOC >24 hr w/o ret consc w surv, init S06.5X3ATraum subdr hem w LOC of 1-5 hrs 59 min, init S06.5X4ATraum subdr hem w LOC of 6 hours to 24 hours, init S06.5X5ATraum subdr hem w LOC >24 hr w ret consc lev, init S06.5X6ATraum subdr hem w LOC >24 hr w/o ret consc w surv, init S06.6X3ATraum subrac hem w LOC of 1-5 hrs 59 min, init S06.6X4ATraum subrac hem w LOC of 6 hours to 24 hours, init S06.6X5ATraum subrac hem w LOC >24 hr w ret consc lev, init S06.6X6ATraum subrac hem w LOC >24 hr w/o ret consc w surv, init S06.813AInjury of r int carotid, intcr w LOC of 1-5 hrs 59 min, init S06.814AInjury of r int carotid, intcr w LOC of 6-24 hrs, init S06.815AInj r int carotid, intcr w LOC >24 hr w ret consc lev, init S06.816AInj r int crtd,intcr w LOC >24 hr w/o ret consc w surv, init S06.823AInjury of l int carotid, intcr w LOC of 1-5 hrs 59 min, init S06.824AInjury of l int carotid, intcr w LOC of 6-24 hrs, init S06.825AInj l int carotid, intcr w LOC >24 hr w ret consc lev, init S06.826AInj l int crtd,intcr w LOC >24 hr w/o ret consc w surv, init S06.893AIntcran inj w loss of consciousness of 1-5 hrs 59 min, init S06.894AIntcran inj w LOC of 6 hours to 24 hours, init S06.895AIntcran inj w LOC >24 hr w ret consc lev, init S06.896AIntcran inj w LOC >24 hr w/o ret consc w surv, init S06.8A3APrimary blast inj brain, NEC LOC of 1-5 hrs 59 min, init S06.8A4APrimary blast injury of brain, NEC LOC of 6-24 hrs, init S06.8A5APrim blst inj brain, NEC LOC >24 hr with ret consc lev, init S06.8A6APrim blst inj brn, NEC LOC >24 hr w/o ret consc w surv, init S06.9X3AUnsp intracranial injury w LOC of 1-5 hrs 59 min, init S06.9X4AUnsp intracranial injury w LOC of 6 hours to 24 hours, init S06.9X5AUnsp intracranial injury w LOC >24 hr w ret consc lev, init S06.9X6AUnsp intcrn injury w LOC >24 hr w/o ret consc w surv, init

Frequently asked questions

What is HCC 397?

HCC 397 is the CMS-HCC V28 risk adjustment category for Major Head Injury with Loss of Consciousness > 1 Hour.

How many ICD-10-CM codes map to HCC 397?

76 ICD-10-CM codes map to HCC 397 under the CMS-HCC V28 model.

Risk adjustment data from CMS (public domain). This page shows the HCC category label and its ICD-10-to-HCC crosswalk only — no per-segment coefficients or RAF scores.