ICD-10-CM Code R40.235
Coma scale, best motor response, localizes pain
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."ICD Code R40.235 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'coma scale, best motor response, localizes pain' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
| 7th Digit | Billable Code | 7th Digit Specifies |
|---|---|---|
| 0 | R40.2350 | unspecified time |
| 1 | R40.2351 | in the field [EMT or ambulance] |
| 2 | R40.2352 | at arrival to emergency department |
| 3 | R40.2353 | at hospital admission |
| 4 | R40.2354 | 24 hours or more after hospital admission |
What is 7th Character Extension?
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More InfoThe ICD code R402 is used to code Coma
In medicine, coma (from the Greek κῶμα koma, meaning "deep sleep") is a state of unconsciousness in which a person: cannot be awakened; fails to respond normally to painful stimuli, light, or sound; lacks a normal wake-sleep cycle; and does not initiate voluntary actions. A person in a state of coma is described as being comatose. Typically, a distinction is made in the medical community between a coma and a medically induced coma, the former is generally understood to be a result of circumstances beyond the control of the medical community, while the latter is generally understood to be a means by which medical professionals may allow a patient's injuries to heal in a controlled environment.
| Specialty: | Neurology |
| MeSH Code: | D003128 |
| ICD 9 Code: | 780.01 |
ICD-10-CM Alphabetical Index References for 'R40.235 - Coma scale, best motor response, localizes pain'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code R40.235. Click on any term below to browse the alphabetical index.
Parent Code: R40.23 - Coma scale, best motor response