R40.2AtualCategoria · é necessária maior especificidade

Coma

Instruções do código

Code first

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

R40 · Instruções dos níveis 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)

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 mais específicos

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

Faturamento e cobertura

Quando ICD-10-CM é obrigatório

ICD-10-CM é obrigatório para diagnósticos em pedidos de reembolso dos EUA sujeitos à HIPAA desde 1 de outubro de 2015.

Use a data do serviço para atendimento ambulatorial e profissional, e a data da alta para internações. Atendimentos anteriores usam ICD-9-CM; cada código também deve ser válido na data aplicável.

Diretrizes oficiais de codificação → · CMS ↗

Primeiro registro · 2015-10-01

Histórico do código

Última alteração registrada · FY2017

AlteradoSem alteração

FY2017

Válido a partir de 2016-10-01

Instruções alteradas
Instruções herdadas alteradas

Coma

Categoria — selecione um código mais específico

CDC/NCHS · FY2017

Todas as edições (19)

Todas as edições	Válido a partir de	Histórico do código
FY2016	2015-10-01	Primeiro registro
FY2017	2016-10-01	Instruções alteradas · Instruções herdadas alteradas
FY2018	2017-10-01	Sem alteração tabular
FY2019	2018-10-01	Sem alteração tabular
FY2020	2019-10-01	Sem alteração tabular
FY2020 · April	2020-04-01	Sem alteração tabular
FY2021	2020-10-01	Sem alteração tabular
FY2021 · 01-01	2021-01-01	Sem alteração tabular
FY2022	2021-10-01	Sem alteração tabular
FY2022 · 04-01	2022-04-01	Sem alteração tabular
FY2023	2022-10-01	Sem alteração tabular
FY2023 · 04-01	2023-04-01	Sem alteração tabular
FY2024	2023-10-01	Sem alteração tabular
FY2024 · 04-01	2024-04-01	Sem alteração tabular
FY2025	2024-10-01	Sem alteração tabular
FY2025 · 04-01	2025-04-01	Sem alteração tabular
FY2026	2025-10-01	Sem alteração tabular
FY2026 · April	2026-04-01	Sem alteração tabular
FY2027	2026-10-01	Sem alteração tabular

Instruções do código

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

Instruções dos níveis superiores

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)

Códigos mais específicos

R40.20Unspecified comaCódigo faturável e específico R40.21Coma scale, eyes openCategoria · é necessária maior especificidade R40.22Coma scale, best verbal responseCategoria · é necessária maior especificidade R40.23Coma scale, best motor responseCategoria · é necessária maior especificidade R40.24Glasgow coma scale, total scoreCategoria · é necessária maior especificidade R40.2ANontraumatic coma due to underlying conditionCódigo faturável e específico

Códigos relacionados

Outras entradas da mesma categoria; não são substitutos automáticos.

Código	Descrição	Categoria · é necessária maior especificidade
R40.0	Somnolence	Código faturável e específico
R40.1	Stupor	Código faturável e específico
R40.3	Persistent vegetative state	Código faturável e específico
R40.4	Transient alteration of awareness	Código faturável e específico

Os títulos e instruções oficiais são preservados no idioma de origem. Fontes oficiais ↗

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.