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R40.2253

ICD-10-CM 2027 · Billable

Coma scale, best verbal response, oriented, at hospital admission

Sibling codes

  • R40.2250 – Coma scale, best verbal response, oriented, unspecified time
  • R40.2251 – Coma scale, best verbal response, oriented, in the field [EMT or ambulance]
  • R40.2252 – Coma scale, best verbal response, oriented, at arrival to emergency department
  • R40.2254 – Coma scale, best verbal response, oriented, 24 hours or more after hospital admission

Inherited from R40.225: Coma scale, best verbal response, oriented

Inclusion terms

  • Coma scale verbal score of 5
  • Cooing or babbling or crying appropriately (< 2 years of age)
  • Uses appropriate words (2- 5 years of age)

Inherited from R40.22: Coma scale, best verbal response

7th character

  • 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

7th character note

  • The following appropriate 7th character is to be added to subcategory R40.22-:

Inherited from R40.2: Coma

Code first

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

Inherited from R40: Somnolence, stupor and coma

Excludes1

  • 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)

Part of: R40.225: Coma scale, best verbal response, oriented › R40.22: Coma scale, best verbal response › R40.2: Coma › R40: Somnolence, stupor and coma