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ICD-10-CM-2023 Diagnosis Codes Overview
ICD-10-CM-2023 > R00-R99 > R40-R46 > R40
R40-R46
Symptoms and signs involving cognition, perception, emotional state and behavior
Excl2.:
symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
R40

Somnolence, stupor and coma

Excl1.:
neonatal coma (P91.5)
somnolence, stupor and coma in diabetes (E08-E13)
somnolence, stupor and coma in hepatic failure (K72.-)
somnolence, stupor and coma in hypoglycemia (nondiabetic) (E15)
R40.0
Somnolence
Info:
Drowsiness
Excl1.:
coma (R40.2-)
R40.1
Stupor
Info:
Catatonic stupor
Semicoma
Excl1.:
catatonic schizophrenia (F20.2)
coma (R40.2-)
depressive stupor (F31-F33)
dissociative stupor (F44.2)
manic stupor (F30.2)
R40.2

Coma

Code first
any associated:
fracture of skull (S02.-)
intracranial injury (S06.-)
Info:
One code from each subcategory, R40.21-R40.23, is required to complete the coma scale
R40.20
Unspecified coma
Info:
Coma NOS
Unconsciousness NOS
R40.21
Coma scale, eyes open
Info:
The following appropriate 7th character is to be added to subcategory R40.21-:
0 - unspecified time
1 - in the field [EMT or ambulance]
2 - at arrival to emergency department
3 - at hospital admission
4 - 24 hours or more after hospital admission
R40.211
Coma scale, eyes open, never
Info:
Coma scale eye opening score of 1
R40.2110
Coma scale, eyes open, never : unspecified time
R40.2111
Coma scale, eyes open, never : in the field [EMT or ambulance]
R40.2112
Coma scale, eyes open, never : at arrival to emergency department
R40.2113
Coma scale, eyes open, never : at hospital admission
R40.2114
Coma scale, eyes open, never : 24 hours or more after hospital admission
R40.212
Coma scale, eyes open, to pain
Info:
Coma scale eye opening score of 2
R40.2120
Coma scale, eyes open, to pain : unspecified time
R40.2121
Coma scale, eyes open, to pain : in the field [EMT or ambulance]
R40.2122
Coma scale, eyes open, to pain : at arrival to emergency department
R40.2123
Coma scale, eyes open, to pain : at hospital admission
R40.2124
Coma scale, eyes open, to pain : 24 hours or more after hospital admission
R40.213
Coma scale, eyes open, to sound
Info:
Coma scale eye opening score of 3
R40.2130
Coma scale, eyes open, to sound : unspecified time
R40.2131
Coma scale, eyes open, to sound : in the field [EMT or ambulance]
R40.2132
Coma scale, eyes open, to sound : at arrival to emergency department
R40.2133
Coma scale, eyes open, to sound : at hospital admission
R40.2134
Coma scale, eyes open, to sound : 24 hours or more after hospital admission
R40.214
Coma scale, eyes open, spontaneous
Info:
Coma scale eye opening score of 4
R40.2140
Coma scale, eyes open, spontaneous : unspecified time
R40.2141
Coma scale, eyes open, spontaneous : in the field [EMT or ambulance]
R40.2142
Coma scale, eyes open, spontaneous : at arrival to emergency department
R40.2143
Coma scale, eyes open, spontaneous : at hospital admission
R40.2144
Coma scale, eyes open, spontaneous : 24 hours or more after hospital admission
R40.22
Coma scale, best verbal response
Info:
The following appropriate 7th character is to be added to subcategory R40.22-:
0 - unspecified time
1 - in the field [EMT or ambulance]
2 - at arrival to emergency department
3 - at hospital admission
4 - 24 hours or more after hospital admission
R40.221
Coma scale, best verbal response, none
Info:
Coma scale verbal score of 1
R40.2210
Coma scale, best verbal response, none : unspecified time
R40.2211
Coma scale, best verbal response, none : in the field [EMT or ambulance]
R40.2212
Coma scale, best verbal response, none : at arrival to emergency department
R40.2213
Coma scale, best verbal response, none : at hospital admission
R40.2214
Coma scale, best verbal response, none : 24 hours or more after hospital admission
R40.222
Coma scale, best verbal response, incomprehensible words
Info:
Coma scale verbal score of 2
Incomprehensible sounds (2-5 years of age)
Moans/grunts to pain; restless (< 2 years old)
R40.2220
Coma scale, best verbal response, incomprehensible words : unspecified time
R40.2221
Coma scale, best verbal response, incomprehensible words : in the field [EMT or ambulance]
R40.2222
Coma scale, best verbal response, incomprehensible words : at arrival to emergency department
R40.2223
Coma scale, best verbal response, incomprehensible words : at hospital admission
R40.2224
Coma scale, best verbal response, incomprehensible words : 24 hours or more after hospital admission
R40.223
Coma scale, best verbal response, inappropriate words
Info:
Coma scale verbal score of 3
Inappropriate crying or screaming (< 2 years of age)
Screaming (2-5 years of age)
R40.2230
Coma scale, best verbal response, inappropriate words : unspecified time
R40.2231
Coma scale, best verbal response, inappropriate words : in the field [EMT or ambulance]
R40.2232
Coma scale, best verbal response, inappropriate words : at arrival to emergency department
R40.2233
Coma scale, best verbal response, inappropriate words : at hospital admission
R40.2234
Coma scale, best verbal response, inappropriate words : 24 hours or more after hospital admission
R40.224
Coma scale, best verbal response, confused conversation
Info:
Coma scale verbal score of 4
Inappropriate words (2-5 years of age)
Irritable cries (< 2 years of age)
R40.2240
Coma scale, best verbal response, confused conversation : unspecified time
R40.2241
Coma scale, best verbal response, confused conversation : in the field [EMT or ambulance]
R40.2242
Coma scale, best verbal response, confused conversation : at arrival to emergency department
R40.2243
Coma scale, best verbal response, confused conversation : at hospital admission
R40.2244
Coma scale, best verbal response, confused conversation : 24 hours or more after hospital admission
R40.225
Coma scale, best verbal response, oriented
Info:
Coma scale verbal score of 5
Cooing or babbling or crying appropriately (< 2 years of age)
Uses appropriate words (2- 5 years of age)
R40.2250
Coma scale, best verbal response, oriented : unspecified time
R40.2251
Coma scale, best verbal response, oriented : in the field [EMT or ambulance]
R40.2252
Coma scale, best verbal response, oriented : at arrival to emergency department
R40.2253
Coma scale, best verbal response, oriented : at hospital admission
R40.2254
Coma scale, best verbal response, oriented : 24 hours or more after hospital admission
R40.23
Coma scale, best motor response
Info:
The following appropriate 7th character is to be added to subcategory R40.23-:
0 - unspecified time
1 - in the field [EMT or ambulance]
2 - at arrival to emergency department
3 - at hospital admission
4 - 24 hours or more after hospital admission
R40.231
Coma scale, best motor response, none
Info:
Coma scale motor score of 1
R40.2310
Coma scale, best motor response, none : unspecified time
R40.2311
Coma scale, best motor response, none : in the field [EMT or ambulance]
R40.2312
Coma scale, best motor response, none : at arrival to emergency department
R40.2313
Coma scale, best motor response, none : at hospital admission
R40.2314
Coma scale, best motor response, none : 24 hours or more after hospital admission
R40.232
Coma scale, best motor response, extension
Info:
Abnormal extensor posturing to pain or noxious stimuli (< 2 years of age)
Coma scale motor score of 2
Extensor posturing to pain or noxious stimuli (2-5 years of age)
R40.2320
Coma scale, best motor response, extension : unspecified time
R40.2321
Coma scale, best motor response, extension : in the field [EMT or ambulance]
R40.2322
Coma scale, best motor response, extension : at arrival to emergency department
R40.2323
Coma scale, best motor response, extension : at hospital admission
R40.2324
Coma scale, best motor response, extension : 24 hours or more after hospital admission
R40.233
Coma scale, best motor response, abnormal flexion
Info:
Abnormal flexure posturing to pain or noxious stimuli (2-5 years of age)
Coma scale motor score of 3
Flexion/decorticate posturing (< 2 years of age)
R40.2330
Coma scale, best motor response, abnormal flexion : unspecified time
R40.2331
Coma scale, best motor response, abnormal flexion : in the field [EMT or ambulance]
R40.2332
Coma scale, best motor response, abnormal flexion : at arrival to emergency department
R40.2333
Coma scale, best motor response, abnormal flexion : at hospital admission
R40.2334
Coma scale, best motor response, abnormal flexion : 24 hours or more after hospital admission
R40.234
Coma scale, best motor response, flexion withdrawal
Info:
Coma scale motor score of 4
Withdraws from pain or noxious stimuli (2-5 years of age)
R40.2340
Coma scale, best motor response, flexion withdrawal : unspecified time
R40.2341
Coma scale, best motor response, flexion withdrawal : in the field [EMT or ambulance]
R40.2342
Coma scale, best motor response, flexion withdrawal : at arrival to emergency department
R40.2343
Coma scale, best motor response, flexion withdrawal : at hospital admission
R40.2344
Coma scale, best motor response, flexion withdrawal : 24 hours or more after hospital admission
R40.235
Coma scale, best motor response, localizes pain
Info:
Coma scale motor score of 5
Localizes pain (2-5 years of age)
Withdraws to touch (< 2 years of age)
R40.2350
Coma scale, best motor response, localizes pain : unspecified time
R40.2351
Coma scale, best motor response, localizes pain : in the field [EMT or ambulance]
R40.2352
Coma scale, best motor response, localizes pain : at arrival to emergency department
R40.2353
Coma scale, best motor response, localizes pain : at hospital admission
R40.2354
Coma scale, best motor response, localizes pain : 24 hours or more after hospital admission
R40.236
Coma scale, best motor response, obeys commands
Info:
Coma scale motor score of 6
Normal or spontaneous movement (< 2 years of age)
Obeys commands (2-5 years of age)
R40.2360
Coma scale, best motor response, obeys commands : unspecified time
R40.2361
Coma scale, best motor response, obeys commands : in the field [EMT or ambulance]
R40.2362
Coma scale, best motor response, obeys commands : at arrival to emergency department
R40.2363
Coma scale, best motor response, obeys commands : at hospital admission
R40.2364
Coma scale, best motor response, obeys commands : 24 hours or more after hospital admission
R40.24
Glasgow coma scale, total score
Info:
Assign a code from subcategory R40.24, when only the total coma score is documented
The following appropriate 7th character is to be added to subcategory R40.24-:
0 - unspecified time
1 - in the field [EMT or ambulance]
2 - at arrival to emergency department
3 - at hospital admission
4 - 24 hours or more after hospital admission
R40.241
Glasgow coma scale score 13-15
R40.2410
Glasgow coma scale score 13-15 : unspecified time
R40.2411
Glasgow coma scale score 13-15 : in the field [EMT or ambulance]
R40.2412
Glasgow coma scale score 13-15 : at arrival to emergency department
R40.2413
Glasgow coma scale score 13-15 : at hospital admission
R40.2414
Glasgow coma scale score 13-15 : 24 hours or more after hospital admission
R40.242
Glasgow coma scale score 9-12
R40.2420
Glasgow coma scale score 9-12 : unspecified time
R40.2421
Glasgow coma scale score 9-12 : in the field [EMT or ambulance]
R40.2422
Glasgow coma scale score 9-12 : at arrival to emergency department
R40.2423
Glasgow coma scale score 9-12 : at hospital admission
R40.2424
Glasgow coma scale score 9-12 : 24 hours or more after hospital admission
R40.243
Glasgow coma scale score 3-8
R40.2430
Glasgow coma scale score 3-8 : unspecified time
R40.2431
Glasgow coma scale score 3-8 : in the field [EMT or ambulance]
R40.2432
Glasgow coma scale score 3-8 : at arrival to emergency department
R40.2433
Glasgow coma scale score 3-8 : at hospital admission
R40.2434
Glasgow coma scale score 3-8 : 24 hours or more after hospital admission
R40.244
Other coma, without documented Glasgow coma scale score, or with partial score reported
R40.2440
Other coma, without documented Glasgow coma scale score, or with partial score reported : unspecified time
R40.2441
Other coma, without documented Glasgow coma scale score, or with partial score reported : in the field [EMT or ambulance]
R40.2442
Other coma, without documented Glasgow coma scale score, or with partial score reported : at arrival to emergency department
R40.2443
Other coma, without documented Glasgow coma scale score, or with partial score reported : at hospital admission
R40.2444
Other coma, without documented Glasgow coma scale score, or with partial score reported : 24 hours or more after hospital admission
R40.3
Persistent vegetative state
R40.4
Transient alteration of awareness

 

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