R40.225ActualCategoría · se requiere mayor especificidad

Coma scale, best verbal response, oriented

R40.2 · Instrucciones de niveles superiores

Code first

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

R40 · Instrucciones de niveles superiores

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)

R40.22 · Instrucciones de niveles superiores

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

Capítulos 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)

Códigos más específicos

R40.2250Coma scale, best verbal response, oriented, unspecified time R40.2251Coma scale, best verbal response, oriented, in the field [EMT or ambulance]R40.2252Coma scale, best verbal response, oriented, at arrival to emergency department R40.2253Coma scale, best verbal response, oriented, at hospital admission R40.2254Coma scale, best verbal response, oriented, 24 hours or more after hospital admission

Facturación y cobertura

Cuándo se exige ICD-10-CM

ICD-10-CM es obligatorio para los diagnósticos en reclamaciones estadounidenses sujetas a HIPAA desde el 1 de octubre de 2015.

Use la fecha del servicio en atención ambulatoria y profesional, y la fecha de alta en hospitalización. La atención anterior usa ICD-9-CM; cada código también debe ser válido en la fecha correspondiente.

Directrices oficiales de codificación → · CMS ↗

Primera aparición · 2015-10-01

Historial del código

Último cambio registrado · FY2019

ModificadoSin cambios

FY2019

Vigente desde 2018-10-01

Cambios en instrucciones

Coma scale, best verbal response, oriented

Categoría — seleccione un código más específico

CDC/NCHS · FY2019

Todas las ediciones (19)

Todas las ediciones	Vigente desde	Historial del código
FY2016	2015-10-01	Primera aparición
FY2017	2016-10-01	Cambios en instrucciones heredadas
FY2018	2017-10-01	Cambios en instrucciones
FY2019	2018-10-01	Cambios en instrucciones
FY2020	2019-10-01	Sin cambios tabulares
FY2020 · April	2020-04-01	Sin cambios tabulares
FY2021	2020-10-01	Sin cambios tabulares
FY2021 · 01-01	2021-01-01	Sin cambios tabulares
FY2022	2021-10-01	Sin cambios tabulares
FY2022 · 04-01	2022-04-01	Sin cambios tabulares
FY2023	2022-10-01	Sin cambios tabulares
FY2023 · 04-01	2023-04-01	Sin cambios tabulares
FY2024	2023-10-01	Sin cambios tabulares
FY2024 · 04-01	2024-04-01	Sin cambios tabulares
FY2025	2024-10-01	Sin cambios tabulares
FY2025 · 04-01	2025-04-01	Sin cambios tabulares
FY2026	2025-10-01	Sin cambios tabulares
FY2026 · April	2026-04-01	Sin cambios tabulares
FY2027	2026-10-01	Sin cambios tabulares

Instrucciones del código

Includes

Coma scale verbal score of 5
Cooing or babbling or crying appropriately (< 2 years of age)
Uses appropriate words (2- 5 years of age)

Instrucciones de niveles superiores

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

Capítulos 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)

R40.22 · Coma scale, best verbal response

Seventh character

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

Códigos más específicos

R40.2250Coma scale, best verbal response, oriented, unspecified timeCódigo facturable y específico R40.2251Coma scale, best verbal response, oriented, in the field [EMT or ambulance]Código facturable y específico R40.2252Coma scale, best verbal response, oriented, at arrival to emergency departmentCódigo facturable y específico R40.2253Coma scale, best verbal response, oriented, at hospital admissionCódigo facturable y específico R40.2254Coma scale, best verbal response, oriented, 24 hours or more after hospital admissionCódigo facturable y específico

Referencias del índice oficial (4)

Coma (4)

Coma › with › verbal response(none) › cooing or babbling or crying appropriately(< 2 years of age)Índice de enfermedades
Coma › with › verbal response(none) › orientedÍndice de enfermedades
Coma › with › verbal response(none) › score of › 5Índice de enfermedades
Coma › with › verbal response(none) › uses appropriate words(2- 5 years of age)Índice de enfermedades

Códigos relacionados

Otras entradas de la misma categoría; no son sustitutos automáticos.

Código	Descripción	Categoría · se requiere mayor especificidad
R40.221	Coma scale, best verbal response, none	Categoría · se requiere mayor especificidad
R40.222	Coma scale, best verbal response, incomprehensible words	Categoría · se requiere mayor especificidad
R40.223	Coma scale, best verbal response, inappropriate words	Categoría · se requiere mayor especificidad
R40.224	Coma scale, best verbal response, confused conversation	Categoría · se requiere mayor especificidad

Los títulos e instrucciones oficiales se conservan en el idioma de origen. Fuentes oficiales ↗

Capítulos 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.