R40.225
R40.225: Coma scale, best verbal response, oriented
Non-billable headerICD-10-CM
R40.225 is a non-billable header ICD-10-CM code for coma scale, best verbal response, oriented. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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 5
- Cooing or babbling or crying appropriately (< 2 years of age)
- Uses appropriate words (2- 5 years of age)
Excludes1 inherited from the categories above R40.225
A category’s note binds every code beneath it.
Other codes that can never be billed with R40.225
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.
Alphabetic index entries that lead here
- Coma›with›verbal response›cooing or babbling or crying appropriately(< 2 years of age)
- Coma›with›verbal response›oriented
- Coma›with›verbal response›uses appropriate words(2- 5 years of age)
- Coma›with›verbal response›score of›5
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead R40.225
5 child codes. Green means billable.
- R40.2250Coma scale, best verbal response, oriented, unspecified time
- R40.2251Coma scale, best verbal response, oriented, in the field [EMT or ambulance]
- R40.2252Coma scale, best verbal response, oriented, at arrival to emergency department
- R40.2253Coma scale, best verbal response, oriented, at hospital admission
- R40.2254Coma scale, best verbal response, oriented, 24 hours or more after hospital admission