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R40

R40: Somnolence, stupor and coma

Non-billable headerICD-10-CM

R40 is a non-billable header ICD-10-CM code for somnolence, stupor and coma. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • 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)

Other codes that can never be billed with R40

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • F06.1Catatonic disorder due to known physiological condition
  • F20.2Catatonic schizophrenia
  • F44.2Dissociative stupor
  • R40.0Somnolence
  • R40.1Stupor
  • R41.82Altered mental status, unspecified
  • R40.2ANontraumatic coma due to underlying condition
  • R46.4Slowness and poor responsiveness

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead R40

5 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.