R40.2232
R40.2232: Coma scale, best verbal response, inappropriate words, at arrival to emergency department
Billable / specific codeICD-10-CM
R40.2232 is a billable, specific ICD-10-CM code for coma scale, best verbal response, inappropriate words, at arrival to emergency department. It is valid for submission on a claim.
Check R40.2232 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 3
- Inappropriate crying or screaming (< 2 years of age)
- Screaming (2-5 years of age)
Excludes1 inherited from the categories above R40.2232
A category’s note binds every code beneath it.
Other codes that can never be billed with R40.2232
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R41.82Altered mental status, unspecified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R40.2232 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under R40.223
- R40.2230Coma scale, best verbal response, inappropriate words, unspecified time
- R40.2231Coma scale, best verbal response, inappropriate words, in the field [EMT or ambulance]
- 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