R40.23YaklaşanKategori · daha fazla ayrıntı gerekli

Coma scale, best motor response

Kod talimatları

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

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)

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

R40.231Coma scale, best motor response, none R40.232Coma scale, best motor response, extension R40.233Coma scale, best motor response, abnormal flexion R40.234Coma scale, best motor response, flexion withdrawal R40.235Coma scale, best motor response, localizes pain R40.236Coma scale, best motor response, obeys commands

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 · FY2017

DeğiştiDeğişmedi

FY2017

Yürürlük tarihi 2016-10-01

Üst yönergeler değişti

Coma scale, best motor response

Kategori — daha özel bir kod seçin

CDC/NCHS · FY2017

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	Tabloda değişiklik yok
FY2019	2018-10-01	Tabloda değişiklik yok
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

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

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)

Daha ayrıntılı kodlar

R40.231Coma scale, best motor response, noneKategori · daha fazla ayrıntı gerekli R40.232Coma scale, best motor response, extensionKategori · daha fazla ayrıntı gerekli R40.233Coma scale, best motor response, abnormal flexionKategori · daha fazla ayrıntı gerekli R40.234Coma scale, best motor response, flexion withdrawalKategori · daha fazla ayrıntı gerekli R40.235Coma scale, best motor response, localizes painKategori · daha fazla ayrıntı gerekli R40.236Coma scale, best motor response, obeys commandsKategori · daha fazla ayrıntı gerekli

İlgili kodlar

Aynı kategorideki diğer girdiler; otomatik ikame değildir.

Kod	Açıklama	Kategori · daha fazla ayrıntı gerekli
R40.20	Unspecified coma	Faturalandırılabilir, belirli kod
R40.21	Coma scale, eyes open	Kategori · daha fazla ayrıntı gerekli
R40.22	Coma scale, best verbal response	Kategori · daha fazla ayrıntı gerekli
R40.24	Glasgow coma scale, total score	Kategori · daha fazla ayrıntı gerekli
R40.2A	Nontraumatic coma due to underlying condition	Faturalandırılabilir, belirli kod

Resmî başlıklar ve talimatlar kaynak dilinde korunur. Resmî kaynaklar ↗

Diğer kodlardan atıflar (2)

R40.2 · Coma

Note · One code from each subcategory, R40.21-R40.23, is required to complete the coma scale

R40.2A · Nontraumatic coma due to underlying condition

Excludes 1 · Glasgow coma scale, total score (R40.23.-)

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.