R40.234ActuelleCatégorie · précision supplémentaire requise

Coma scale, best motor response, flexion withdrawal

R40.2 · Instructions des niveaux supérieurs

Code first

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

R40 · Instructions des niveaux supérieurs

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 · Instructions des niveaux supérieurs

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

Chapitres 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)

Codes plus précis

R40.2340Coma scale, best motor response, flexion withdrawal, unspecified time R40.2341Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]R40.2342Coma scale, best motor response, flexion withdrawal, at arrival to emergency department R40.2343Coma scale, best motor response, flexion withdrawal, at hospital admission R40.2344Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission

Facturation et couverture

Quand ICD-10-CM est obligatoire

Pour les demandes de remboursement américaines soumises à HIPAA, ICD-10-CM est obligatoire pour les diagnostics depuis le 1er octobre 2015.

Utilisez la date des soins en ambulatoire et pour les actes professionnels, et la date de sortie pour les séjours hospitaliers. Les soins antérieurs relèvent d’ICD-9-CM ; chaque code doit aussi être valable à la date concernée.

Directives officielles de codage → · CMS ↗

Première observation · 2015-10-01

Historique du code

Dernière modification enregistrée · FY2019

ModifiéInchangé

FY2019

En vigueur dès le 2018-10-01

Instructions du code modifiées

Coma scale, best motor response, flexion withdrawal

Catégorie — choisir un code plus précis

CDC/NCHS · FY2019

Toutes les éditions (19)

Toutes les éditions	En vigueur dès le	Historique du code
FY2016	2015-10-01	Première observation
FY2017	2016-10-01	Instructions héritées modifiées
FY2018	2017-10-01	Instructions du code modifiées
FY2019	2018-10-01	Instructions du code modifiées
FY2020	2019-10-01	Aucun changement tabulaire
FY2020 · April	2020-04-01	Aucun changement tabulaire
FY2021	2020-10-01	Aucun changement tabulaire
FY2021 · 01-01	2021-01-01	Aucun changement tabulaire
FY2022	2021-10-01	Aucun changement tabulaire
FY2022 · 04-01	2022-04-01	Aucun changement tabulaire
FY2023	2022-10-01	Aucun changement tabulaire
FY2023 · 04-01	2023-04-01	Aucun changement tabulaire
FY2024	2023-10-01	Aucun changement tabulaire
FY2024 · 04-01	2024-04-01	Aucun changement tabulaire
FY2025	2024-10-01	Aucun changement tabulaire
FY2025 · 04-01	2025-04-01	Aucun changement tabulaire
FY2026	2025-10-01	Aucun changement tabulaire
FY2026 · April	2026-04-01	Aucun changement tabulaire
FY2027	2026-10-01	Aucun changement tabulaire

Instructions du code

Includes

Coma scale motor score of 4
Withdraws from pain or noxious stimuli (2-5 years of age)

Instructions des niveaux supérieurs

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

Chapitres 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

Codes plus précis

R40.2340Coma scale, best motor response, flexion withdrawal, unspecified timeCode facturable et spécifique R40.2341Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]Code facturable et spécifique R40.2342Coma scale, best motor response, flexion withdrawal, at arrival to emergency departmentCode facturable et spécifique R40.2343Coma scale, best motor response, flexion withdrawal, at hospital admissionCode facturable et spécifique R40.2344Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admissionCode facturable et spécifique

Références de l’index officiel (3)

Coma (3)

Coma › with › motor response(none) › flexion withdrawalIndex des maladies
Coma › with › motor response(none) › score of › 4Index des maladies
Coma › with › motor response(none) › withdraws from pain or noxious stimuli(0-5 years of age)Index des maladies

Codes associés

Autres entrées de la même catégorie ; elles ne sont pas des substituts automatiques.

Code	Description	Catégorie · précision supplémentaire requise
R40.231	Coma scale, best motor response, none	Catégorie · précision supplémentaire requise
R40.232	Coma scale, best motor response, extension	Catégorie · précision supplémentaire requise
R40.233	Coma scale, best motor response, abnormal flexion	Catégorie · précision supplémentaire requise
R40.235	Coma scale, best motor response, localizes pain	Catégorie · précision supplémentaire requise
R40.236	Coma scale, best motor response, obeys commands	Catégorie · précision supplémentaire requise

Les intitulés et instructions officiels sont conservés dans la langue source. Sources officielles ↗

Chapitres 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.