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R40 Somnolence, stupor and coma

Non-Billable/Non-Specific

Type 1 Excludes

  • 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)

Codes

  • R40.0Somnolence
  • R40.1Stupor
  • R40.2Coma
    • R40.20Unspecified coma
    • R40.21Coma scale, eyes open
      • R40.211Coma scale, eyes open, never
        • R40.2110..., unspecified time
        • R40.2111..., in the field [EMT or ambulance]
        • R40.2112..., at arrival to emergency department
        • R40.2113..., at hospital admission
        • R40.2114..., 24 hours or more after hospital admission
      • R40.212Coma scale, eyes open, to pain
        • R40.2120..., unspecified time
        • R40.2121..., in the field [EMT or ambulance]
        • R40.2122..., at arrival to emergency department
        • R40.2123..., at hospital admission
        • R40.2124..., 24 hours or more after hospital admission
      • R40.213Coma scale, eyes open, to sound
        • R40.2130..., unspecified time
        • R40.2131..., in the field [EMT or ambulance]
        • R40.2132..., at arrival to emergency department
        • R40.2133..., at hospital admission
        • R40.2134..., 24 hours or more after hospital admission
      • R40.214Coma scale, eyes open, spontaneous
        • R40.2140..., unspecified time
        • R40.2141..., in the field [EMT or ambulance]
        • R40.2142..., at arrival to emergency department
        • R40.2143..., at hospital admission
        • R40.2144..., 24 hours or more after hospital admission
    • R40.22Coma scale, best verbal response
      • R40.221Coma scale, best verbal response, none
        • R40.2210..., unspecified time
        • R40.2211..., in the field [EMT or ambulance]
        • R40.2212..., at arrival to emergency department
        • R40.2213..., at hospital admission
        • R40.2214..., 24 hours or more after hospital admission
      • R40.222Coma scale, best verbal response, incomprehensible words
        • R40.2220..., unspecified time
        • R40.2221..., in the field [EMT or ambulance]
        • R40.2222..., at arrival to emergency department
        • R40.2223..., at hospital admission
        • R40.2224..., 24 hours or more after hospital admission
      • R40.223Coma scale, best verbal response, inappropriate words
        • R40.2230..., unspecified time
        • R40.2231..., in the field [EMT or ambulance]
        • R40.2232..., at arrival to emergency department
        • R40.2233..., at hospital admission
        • R40.2234..., 24 hours or more after hospital admission
      • R40.224Coma scale, best verbal response, confused conversation
        • R40.2240..., unspecified time
        • R40.2241..., in the field [EMT or ambulance]
        • R40.2242..., at arrival to emergency department
        • R40.2243..., at hospital admission
        • R40.2244..., 24 hours or more after hospital admission
      • R40.225Coma scale, best verbal response, oriented
        • R40.2250..., unspecified time
        • R40.2251..., in the field [EMT or ambulance]
        • R40.2252..., at arrival to emergency department
        • R40.2253..., at hospital admission
        • R40.2254..., 24 hours or more after hospital admission
    • R40.23Coma scale, best motor response
      • R40.231Coma scale, best motor response, none
        • R40.2310..., unspecified time
        • R40.2311..., in the field [EMT or ambulance]
        • R40.2312..., at arrival to emergency department
        • R40.2313..., at hospital admission
        • R40.2314..., 24 hours or more after hospital admission
      • R40.232Coma scale, best motor response, extension
        • R40.2320..., unspecified time
        • R40.2321..., in the field [EMT or ambulance]
        • R40.2322..., at arrival to emergency department
        • R40.2323..., at hospital admission
        • R40.2324..., 24 hours or more after hospital admission
      • R40.233Coma scale, best motor response, abnormal flexion
        • R40.2330..., unspecified time
        • R40.2331..., in the field [EMT or ambulance]
        • R40.2332..., at arrival to emergency department
        • R40.2333..., at hospital admission
        • R40.2334..., 24 hours or more after hospital admission
      • R40.234Coma scale, best motor response, flexion withdrawal
        • R40.2340..., unspecified time
        • R40.2341..., in the field [EMT or ambulance]
        • R40.2342..., at arrival to emergency department
        • R40.2343..., at hospital admission
        • R40.2344..., 24 hours or more after hospital admission
      • R40.235Coma scale, best motor response, localizes pain
        • R40.2350..., unspecified time
        • R40.2351..., in the field [EMT or ambulance]
        • R40.2352..., at arrival to emergency department
        • R40.2353..., at hospital admission
        • R40.2354..., 24 hours or more after hospital admission
      • R40.236Coma scale, best motor response, obeys commands
        • R40.2360..., unspecified time
        • R40.2361..., in the field [EMT or ambulance]
        • R40.2362..., at arrival to emergency department
        • R40.2363..., at hospital admission
        • R40.2364..., 24 hours or more after hospital admission
    • R40.24Glasgow coma scale, total score
      • R40.241Glasgow coma scale score 13-15
        • R40.2410..., unspecified time
        • R40.2411..., in the field [EMT or ambulance]
        • R40.2412..., at arrival to emergency department
        • R40.2413..., at hospital admission
        • R40.2414..., 24 hours or more after hospital admission
      • R40.242Glasgow coma scale score 9-12
        • R40.2420..., unspecified time
        • R40.2421..., in the field [EMT or ambulance]
        • R40.2422..., at arrival to emergency department
        • R40.2423..., at hospital admission
        • R40.2424..., 24 hours or more after hospital admission
      • R40.243Glasgow coma scale score 3-8
        • R40.2430..., unspecified time
        • R40.2431..., in the field [EMT or ambulance]
        • R40.2432..., at arrival to emergency department
        • R40.2433..., at hospital admission
        • R40.2434..., 24 hours or more after hospital admission
      • R40.244Other coma, without documented Glasgow coma scale score, or with partial score reported
        • R40.2440..., unspecified time
        • R40.2441..., in the field [EMT or ambulance]
        • R40.2442..., at arrival to emergency department
        • R40.2443..., at hospital admission
        • R40.2444..., 24 hours or more after hospital admission
    • R40.2ANontraumatic coma due to underlying condition
  • R40.3Persistent vegetative state
  • R40.4Transient alteration of awareness