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 R40.2 |
 |
Coma |
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| CodeFirst |
any associated:
fracture of skull (S02.-)
intracranial injury (S06.-)
|
| Notes |
One code from each subcategory, R40.21-R40.23, is required to complete the coma scale
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|
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 R40.20 |
|
Unspecified coma |
| |
| Coma NOS | | Unconsciousness NOS |
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| R40.21 |
|
Coma scale, eyes open |
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| char7Note |
The following appropriate 7th character is to be added to subcategory R40.21-:
|
| char7Def |
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
|
|
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 R40.211 |
|
Coma scale, eyes open, never |
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| Coma scale eye opening score of 1 |
|
| | |
| R40.212 |
|
Coma scale, eyes open, to pain |
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| Coma scale eye opening score of 2 |
|
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| R40.213 |
|
Coma scale, eyes open, to sound |
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| Coma scale eye opening score of 3 |
|
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| R40.214 |
|
Coma scale, eyes open, spontaneous |
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| Coma scale eye opening score of 4 |
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| | | |
| R40.22 |
|
Coma scale, best verbal response |
| |
| char7Note |
The following appropriate 7th character is to be added to subcategory R40.22-:
|
| char7Def |
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
|
|
| |
| R40.221 |
|
Coma scale, best verbal response, none |
| |
| Coma scale verbal score of 1 |
|
| | |
| R40.222 |
|
Coma scale, best verbal response, incomprehensible words |
| |
| Coma scale verbal score of 2 | | Incomprehensible sounds (2-5 years of age) | | Moans/grunts to pain; restless (<2 years old) |
|
| | |
| R40.223 |
|
Coma scale, best verbal response, inappropriate words |
| |
| Coma scale verbal score of 3 | | Inappropriate crying or screaming (< 2 years of age) | | Screaming (2-5 years of age) |
|
| | |
| R40.224 |
|
Coma scale, best verbal response, confused conversation |
| |
| Coma scale verbal score of 4 | | Inappropriate words (2-5 years of age) | | Irritable cries (< 2 years of age) |
|
| | |
| R40.225 |
|
Coma scale, best verbal response, oriented |
| |
| Coma scale verbal score of 5 | | Cooing or babbling or crying appropriately (< 2 years of age) | | Uses appropriate words (2- 5 years of age) |
|
| | | |
| R40.23 |
|
Coma scale, best motor response |
| |
| char7Note |
The following appropriate 7th character is to be added to subcategory R40.23-:
|
| char7Def |
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
|
|
| |
| R40.231 |
|
Coma scale, best motor response, none |
| |
| Coma scale motor score of 1 |
|
| | |
| R40.232 |
|
Coma scale, best motor response, extension |
| |
| Abnormal extensor posturing to pain or noxious stimuli (< 2 years of age) | | Coma scale motor score of 2 | | Extensor posturing to pain or noxious stimuli (2-5 years of age) |
|
| | |
| R40.233 |
|
Coma scale, best motor response, abnormal flexion |
| |
| 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) |
|
| | |
| R40.234 |
|
Coma scale, best motor response, flexion withdrawal |
| |
| Coma scale motor score of 4 | | Withdraws from pain or noxious stimuli (2-5 years of age) |
|
| | |
| R40.235 |
|
Coma scale, best motor response, localizes pain |
| |
| Coma scale motor score of 5 | | Localizes pain (2-5 years of age) | | Withdraws to touch (< 2 years of age) |
|
| | |
| R40.236 |
|
Coma scale, best motor response, obeys commands |
| |
| Coma scale motor score of 6 | | Normal or spontaneous movement (< 2 years of age) | | Obeys commands (2-5 years of age) |
|
| | | |
| R40.24 |
|
Glasgow coma scale, total score |
| |
| Notes |
Assign a code from subcategory R40.24, when only the total coma score is documented
|
| char7Note |
The following appropriate 7th character is to be added to subcategory R40.24-:
|
| char7Def |
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
|
|
| |
| R40.241 |
|
Glasgow coma scale score 13-15 |
| | |
| R40.242 |
|
Glasgow coma scale score 9-12 |
| | |
| R40.243 |
|
Glasgow coma scale score 3-8 |
| | |
| R40.244 |
|
Other coma, without documented Glasgow coma scale score, or with partial score reported |
| | | |
| R40.2A |
|
Nontraumatic coma due to underlying condition |
| |
| Secondary coma |
| CodeFirst |
underlying condition
|
| Excludes1 |
coma scale, best motor response (R40.24.-)
coma scale, best verbal response (R40.22.-)
coma scale, eyes open (R40.21.-)
Glasgow coma scale, total score (R40.23.-)
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