R40: Somnolence, stupor and coma

Codes under R40 (Somnolence, stupor and coma). A ✓ marks a billable (fully specified) code; category codes without a ✓ are not billable on their own.

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

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