R40.233PróximaCategoria · é necessária maior especificidade

Coma scale, best motor response, abnormal flexion

R40.2 · Instruções dos níveis superiores

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)

R40.23 · Instruções dos níveis 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 mais específicos

R40.2330Coma scale, best motor response, abnormal flexion, unspecified time R40.2331Coma scale, best motor response, abnormal flexion, in the field [EMT or ambulance]R40.2332Coma scale, best motor response, abnormal flexion, at arrival to emergency department R40.2333Coma scale, best motor response, abnormal flexion, at hospital admission R40.2334Coma scale, best motor response, abnormal flexion, 24 hours or more after hospital admission

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 · FY2019

AlteradoSem alteração

FY2019

Válido a partir de 2018-10-01

Título alterado
Instruções alteradas

Coma scale, best motor response, abnormal flexion

Título anterior: Coma scale, best motor response, abnormal

Categoria — selecione um código mais específico

CDC/NCHS · FY2019

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 herdadas alteradas
FY2018	2017-10-01	Instruções alteradas
FY2019	2018-10-01	Título alterado · Instruções alteradas
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

Inclusion terms

Abnormal flexure posturing to pain or noxious stimuli (2-5 years of age)
Coma scale motor score of 3
Flexion/decorticate posturing (< 2 years of age)

Instruções dos níveis 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)

R40.23 · 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

Códigos mais específicos

R40.2330Coma scale, best motor response, abnormal flexion, unspecified timeCódigo faturável e específico R40.2331Coma scale, best motor response, abnormal flexion, in the field [EMT or ambulance]Código faturável e específico R40.2332Coma scale, best motor response, abnormal flexion, at arrival to emergency departmentCódigo faturável e específico R40.2333Coma scale, best motor response, abnormal flexion, at hospital admissionCódigo faturável e específico R40.2334Coma scale, best motor response, abnormal flexion, 24 hours or more after hospital admissionCódigo faturável e específico

Referências do índice oficial (4)

Coma (4)

Coma › with › motor response(none) › abnormalÍndice de doenças
Coma › with › motor response(none) › abnormal flexure posturing to pain or noxious stimuli(0-5 years of age)Índice de doenças
Coma › with › motor response(none) › flexion/decorticate posturing(< 2 years of age)Índice de doenças
Coma › with › motor response(none) › score of › 3Índice de doenças

Códigos relacionados

Outras entradas da mesma categoria; não são substitutos automáticos.

Código	Descrição	Categoria · é necessária maior especificidade
R40.231	Coma scale, best motor response, none	Categoria · é necessária maior especificidade
R40.232	Coma scale, best motor response, extension	Categoria · é necessária maior especificidade
R40.234	Coma scale, best motor response, flexion withdrawal	Categoria · é necessária maior especificidade
R40.235	Coma scale, best motor response, localizes pain	Categoria · é necessária maior especificidade
R40.236	Coma scale, best motor response, obeys commands	Categoria · é necessária maior especificidade

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.