R40.234GüncelKategori · daha fazla ayrıntı gerekli

Coma scale, best motor response, flexion withdrawal

R40.2 · Üst düzey talimatlar

Code first

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

R40 · Üst düzey talimatlar

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 · Üst düzey talimatlar

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

Bölümler 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)

Daha ayrıntılı kodlar

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

Faturalama ve kapsam

ICD-10-CM ne zaman zorunludur

HIPAA kapsamındaki ABD tanı taleplerinde 1 Ekim 2015 tarihinden itibaren ICD-10-CM zorunludur.

Ayakta ve profesyonel hizmet taleplerinde hizmet tarihi, hastaneye yatış taleplerinde taburcu tarihi kullanılır. Önceki hizmetler ICD-9-CM kullanır; her kod da ilgili tarihte geçerli olmalıdır.

Resmî kodlama rehberi → · CMS ↗

İlk gözlem · 2015-10-01

Kod geçmişi

Son kaydedilen değişiklik · FY2019

DeğiştiDeğişmedi

FY2019

Yürürlük tarihi 2018-10-01

Kod yönergeleri değişti

Coma scale, best motor response, flexion withdrawal

Kategori — daha özel bir kod seçin

CDC/NCHS · FY2019

Tüm sürümler (19)

Tüm sürümler	Yürürlük tarihi	Kod geçmişi
FY2016	2015-10-01	İlk gözlem
FY2017	2016-10-01	Üst yönergeler değişti
FY2018	2017-10-01	Kod yönergeleri değişti
FY2019	2018-10-01	Kod yönergeleri değişti
FY2020	2019-10-01	Tabloda değişiklik yok
FY2020 · April	2020-04-01	Tabloda değişiklik yok
FY2021	2020-10-01	Tabloda değişiklik yok
FY2021 · 01-01	2021-01-01	Tabloda değişiklik yok
FY2022	2021-10-01	Tabloda değişiklik yok
FY2022 · 04-01	2022-04-01	Tabloda değişiklik yok
FY2023	2022-10-01	Tabloda değişiklik yok
FY2023 · 04-01	2023-04-01	Tabloda değişiklik yok
FY2024	2023-10-01	Tabloda değişiklik yok
FY2024 · 04-01	2024-04-01	Tabloda değişiklik yok
FY2025	2024-10-01	Tabloda değişiklik yok
FY2025 · 04-01	2025-04-01	Tabloda değişiklik yok
FY2026	2025-10-01	Tabloda değişiklik yok
FY2026 · April	2026-04-01	Tabloda değişiklik yok
FY2027	2026-10-01	Tabloda değişiklik yok

Kod talimatları

Includes

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

Üst düzey talimatlar

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

Bölümler 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

Daha ayrıntılı kodlar

R40.2340Coma scale, best motor response, flexion withdrawal, unspecified timeFaturalandırılabilir, belirli kod R40.2341Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]Faturalandırılabilir, belirli kod R40.2342Coma scale, best motor response, flexion withdrawal, at arrival to emergency departmentFaturalandırılabilir, belirli kod R40.2343Coma scale, best motor response, flexion withdrawal, at hospital admissionFaturalandırılabilir, belirli kod R40.2344Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admissionFaturalandırılabilir, belirli kod

Resmî dizin referansları (3)

Coma (3)

Coma › with › motor response(none) › flexion withdrawalHastalık dizini
Coma › with › motor response(none) › score of › 4Hastalık dizini
Coma › with › motor response(none) › withdraws from pain or noxious stimuli(0-5 years of age)Hastalık dizini

İlgili kodlar

Aynı kategorideki diğer girdiler; otomatik ikame değildir.

Kod	Açıklama	Kategori · daha fazla ayrıntı gerekli
R40.231	Coma scale, best motor response, none	Kategori · daha fazla ayrıntı gerekli
R40.232	Coma scale, best motor response, extension	Kategori · daha fazla ayrıntı gerekli
R40.233	Coma scale, best motor response, abnormal flexion	Kategori · daha fazla ayrıntı gerekli
R40.235	Coma scale, best motor response, localizes pain	Kategori · daha fazla ayrıntı gerekli
R40.236	Coma scale, best motor response, obeys commands	Kategori · daha fazla ayrıntı gerekli

Resmî başlıklar ve talimatlar kaynak dilinde korunur. Resmî kaynaklar ↗

Bölümler 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.