R40.2212: Coma scale, best verbal response, none, at arrival to emergency department
R40.2212 is a billable, specific ICD-10-CM code for coma scale, best verbal response, none, at arrival to emergency department. It is valid for submission on a claim.
Check R40.2212 with the rest of the claim: free scrubber7th character "2": at arrival to emergency department
The following appropriate 7th character is to be added to subcategory R40.22-:
- 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Coma scale verbal score of 1
Excludes1 inherited from the categories above R40.2212
A category’s note binds every code beneath it.
Other codes that can never be billed with R40.2212
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R41.82Altered mental status, unspecified
Risk adjustment
R40.2212 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 202 Coma, Brain Compression/Anoxic Damage0.543 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
R40.2212 is named in 20 Medicare coverage policies: 20 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
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under R40.221
- R40.2210Coma scale, best verbal response, none, unspecified time
- R40.2211Coma scale, best verbal response, none, in the field [EMT or ambulance]
- R40.2213Coma scale, best verbal response, none, at hospital admission
- R40.2214Coma scale, best verbal response, none, 24 hours or more after hospital admission