| 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 | |
|
ICD-10-CM-2023 Code Search Engine and PCS-2023 Code Search Engine |