R40.1
R40.1: Stupor
Billable / specific codeICD-10-CM
R40.1 is a billable, specific ICD-10-CM code for stupor. It is valid for submission on a claim.
Check R40.1 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Catatonic stupor
- Semicoma
Excludes1 inherited from the categories above R40.1
A category’s note binds every code beneath it.
Other codes that can never be billed with R40.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R40.1 is named in 27 Medicare coverage policies: 27 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54799Billing and Coding: Urine Drug Testing
- A55001Billing and Coding: Urine Drug Testing
- A56612Billing and Coding: CT of the Head
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
Alphabetic index entries that lead here
- Clouded state
- Semicoma
- Stupor(catatonic)
- Catatonic›stupor
Code history
Unchanged in every release from FY2024 to FY2027.