R40.236AktuellKategorie · weitere Spezifizierung erforderlich

Coma scale, best motor response, obeys commands

R40.2 · Hinweise übergeordneter Ebenen

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)

R40.23 · Hinweise übergeordneter Ebenen

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

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

R40.2360Coma scale, best motor response, obeys commands, unspecified time R40.2361Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]R40.2362Coma scale, best motor response, obeys commands, at arrival to emergency department R40.2363Coma scale, best motor response, obeys commands, at hospital admission R40.2364Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission

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 · FY2019

GeändertUnverändert

FY2019

Gültig ab 2018-10-01

Codehinweise geändert

Coma scale, best motor response, obeys commands

Kategorie — spezifischeren Code auswählen

CDC/NCHS · FY2019

Alle Ausgaben (19)

Alle Ausgaben	Gültig ab	Codeverlauf
FY2016	2015-10-01	Erstmals erfasst
FY2017	2016-10-01	Übergeordnete Hinweise geändert
FY2018	2017-10-01	Codehinweise geändert
FY2019	2018-10-01	Codehinweise geändert
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

Includes

Coma scale motor score of 6
Normal or spontaneous movement (< 2 years of age)
Obeys commands (2-5 years of age)

Hinweise übergeordneter Ebenen

R40.2 · Coma

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

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)

R40.23 · Coma scale, best motor response

Seventh character

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

Spezifischere Codes

R40.2360Coma scale, best motor response, obeys commands, unspecified timeAbrechenbarer, spezifischer Code R40.2361Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]Abrechenbarer, spezifischer Code R40.2362Coma scale, best motor response, obeys commands, at arrival to emergency departmentAbrechenbarer, spezifischer Code R40.2363Coma scale, best motor response, obeys commands, at hospital admissionAbrechenbarer, spezifischer Code R40.2364Coma scale, best motor response, obeys commands, 24 hours or more after hospital admissionAbrechenbarer, spezifischer Code

Verweise im offiziellen Index (3)

Coma (3)

Coma › with › motor response(none) › normal or spontaneous movement(< 2 years of age)Krankheitsverzeichnis
Coma › with › motor response(none) › obeys commands(2-5 years of age)Krankheitsverzeichnis
Coma › with › motor response(none) › score of › 6Krankheitsverzeichnis

Verwandte Codes

Weitere Einträge derselben Kategorie; keine automatischen Ersatzcodes.

Code	Beschreibung	Kategorie · weitere Spezifizierung erforderlich
R40.231	Coma scale, best motor response, none	Kategorie · weitere Spezifizierung erforderlich
R40.232	Coma scale, best motor response, extension	Kategorie · weitere Spezifizierung erforderlich
R40.233	Coma scale, best motor response, abnormal flexion	Kategorie · weitere Spezifizierung erforderlich
R40.234	Coma scale, best motor response, flexion withdrawal	Kategorie · weitere Spezifizierung erforderlich
R40.235	Coma scale, best motor response, localizes pain	Kategorie · weitere Spezifizierung erforderlich

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.