R40.2AktuellKategorie · weitere Spezifizierung erforderlich

Coma

Hinweise zum Code

Code first

any associated:
fracture of skull (S02.-)
intracranial injury (S06.-)

R40 · Hinweise übergeordneter Ebenen

Excludes 1

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)

Excludes 2 · 5

Kapitel 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

R40-R46 · Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

Excludes 2

symptoms and signs constituting part of a pattern of mental disorder (F01-F99)

Spezifischere Codes

R40.20Unspecified coma R40.21Coma scale, eyes open R40.22Coma scale, best verbal response R40.23Coma scale, best motor response R40.24Glasgow coma scale, total score R40.2ANontraumatic coma due to underlying condition

Abrechnung und Kostenübernahme

Wann ICD-10-CM vorgeschrieben ist

Für US-Diagnoseabrechnungen nach HIPAA ist ICD-10-CM seit dem 1. Oktober 2015 vorgeschrieben.

Für ambulante und ärztliche Abrechnungen gilt das Leistungsdatum, für stationäre Krankenhausfälle das Entlassungsdatum. Frühere Behandlungen verwenden ICD-9-CM; auch der einzelne Code muss am maßgeblichen Datum gültig sein.

Offizielle Kodierrichtlinien → · CMS ↗

Erstmals erfasst · 2015-10-01

Codeverlauf

Letzte erfasste Änderung · FY2017

GeändertUnverändert

FY2017

Gültig ab 2016-10-01

Codehinweise geändert
Übergeordnete Hinweise geändert

Coma

Kategorie — spezifischeren Code auswählen

CDC/NCHS · FY2017

Alle Ausgaben (19)

Alle Ausgaben	Gültig ab	Codeverlauf
FY2016	2015-10-01	Erstmals erfasst
FY2017	2016-10-01	Codehinweise geändert · Übergeordnete Hinweise geändert
FY2018	2017-10-01	Keine tabellarische Änderung
FY2019	2018-10-01	Keine tabellarische Änderung
FY2020	2019-10-01	Keine tabellarische Änderung
FY2020 · April	2020-04-01	Keine tabellarische Änderung
FY2021	2020-10-01	Keine tabellarische Änderung
FY2021 · 01-01	2021-01-01	Keine tabellarische Änderung
FY2022	2021-10-01	Keine tabellarische Änderung
FY2022 · 04-01	2022-04-01	Keine tabellarische Änderung
FY2023	2022-10-01	Keine tabellarische Änderung
FY2023 · 04-01	2023-04-01	Keine tabellarische Änderung
FY2024	2023-10-01	Keine tabellarische Änderung
FY2024 · 04-01	2024-04-01	Keine tabellarische Änderung
FY2025	2024-10-01	Keine tabellarische Änderung
FY2025 · 04-01	2025-04-01	Keine tabellarische Änderung
FY2026	2025-10-01	Keine tabellarische Änderung
FY2026 · April	2026-04-01	Keine tabellarische Änderung
FY2027	2026-10-01	Keine tabellarische Änderung

Hinweise zum Code

Code first

any associated:
fracture of skull (S02.-)
intracranial injury (S06.-)

Note

One code from each subcategory, R40.21-R40.23, is required to complete the coma scale

Hinweise übergeordneter Ebenen

Kapitel 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

R40-R46 · Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

Excludes 2

symptoms and signs constituting part of a pattern of mental disorder (F01-F99)

R40 · Somnolence, stupor and coma

Excludes 1

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)

Spezifischere Codes

R40.20Unspecified comaAbrechenbarer, spezifischer Code R40.21Coma scale, eyes openKategorie · weitere Spezifizierung erforderlich R40.22Coma scale, best verbal responseKategorie · weitere Spezifizierung erforderlich R40.23Coma scale, best motor responseKategorie · weitere Spezifizierung erforderlich R40.24Glasgow coma scale, total scoreKategorie · weitere Spezifizierung erforderlich R40.2ANontraumatic coma due to underlying conditionAbrechenbarer, spezifischer Code

Verwandte Codes

Weitere Einträge derselben Kategorie; keine automatischen Ersatzcodes.

Code	Beschreibung	Kategorie · weitere Spezifizierung erforderlich
R40.0	Somnolence	Abrechenbarer, spezifischer Code
R40.1	Stupor	Abrechenbarer, spezifischer Code
R40.3	Persistent vegetative state	Abrechenbarer, spezifischer Code
R40.4	Transient alteration of awareness	Abrechenbarer, spezifischer Code

Offizielle Bezeichnungen und Hinweise bleiben in der Quellsprache erhalten. Offizielle Quellen ↗

Kapitel 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.