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R40.2

R40.2: Coma

Non-billable headerICD-10-CM

R40.2 is a non-billable header ICD-10-CM code for coma. It cannot be billed on its own: choose one of the more specific child codes below.

Code first

The underlying condition must be sequenced before this code.

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

Notes

Additional guidance from the ICD-10-CM tabular list.

  • One code from each subcategory, R40.21-R40.23, is required to complete the coma scale

Excludes1 inherited from the categories above R40.2

A category’s note binds every code beneath it.

Written on R40: Somnolence, stupor and coma

  • 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 R40.2

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

  • R40.0Somnolence
  • R40.1Stupor
  • R41.82Altered mental status, unspecified
  • R40.2ANontraumatic coma due to underlying condition
  • R55Syncope and collapse

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 R40.2

6 child codes. Green means billable.

Other codes under R40

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.