R40.2241
R40.2241: Coma scale, best verbal response, confused conversation, in the field [EMT or ambulance]
Billable / specific codeICD-10-CM
R40.2241 is a billable, specific ICD-10-CM code for coma scale, best verbal response, confused conversation, in the field [emt or ambulance]. It is valid for submission on a claim.
Check R40.2241 with the rest of the claim: free scrubber7th character "1": in the field [EMT or ambulance]
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 4
- Inappropriate words (2-5 years of age)
- Irritable cries (< 2 years of age)
Excludes1 inherited from the categories above R40.2241
A category’s note binds every code beneath it.
Other codes that can never be billed with R40.2241
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
R40.2241 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 R40.224
- R40.2240Coma scale, best verbal response, confused conversation, unspecified time
- R40.2242Coma scale, best verbal response, confused conversation, at arrival to emergency department
- R40.2243Coma scale, best verbal response, confused conversation, at hospital admission
- R40.2244Coma scale, best verbal response, confused conversation, 24 hours or more after hospital admission