R40.2230
R40.2230 — Coma scale, best verbal response, inappropriate words, unspecified time
Billable / specific codeICD-10-CM
R40.2230 is a billable, specific ICD-10-CM code for coma scale, best verbal response, inappropriate words, unspecified time. It is valid for submission on a claim.
7th character "0" — unspecified time
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 3
- Inappropriate crying or screaming (< 2 years of age)
- Screaming (2-5 years of age)
Risk adjustment
R40.2230 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Related codes at this level
Codes that share R40.223. If R40.2230 is not quite right, the correct code is usually one of these.
- R40.2231Coma scale, best verbal response, inappropriate words, in the field [EMT or ambulance]
- R40.2232Coma scale, best verbal response, inappropriate words, at arrival to emergency department
- R40.2233Coma scale, best verbal response, inappropriate words, at hospital admission
- R40.2234Coma scale, best verbal response, inappropriate words, 24 hours or more after hospital admission
Questions about R40.2230
- Is R40.2230 a billable ICD-10-CM code?
- Yes. R40.2230 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R40.2230 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46).