R40.2252 — Coma scale, best verbal response, oriented, at arrival to emergency department
R40.2252 is a billable, specific ICD-10-CM code for coma scale, best verbal response, oriented, at arrival to emergency department. It is valid for submission on a claim.
7th 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 5
- Cooing or babbling or crying appropriately (< 2 years of age)
- Uses appropriate words (2- 5 years of age)
Risk adjustment
R40.2252 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.
Medicare coverage
R40.2252 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Related codes at this level
Codes that share R40.225. If R40.2252 is not quite right, the correct code is usually one of these.
- R40.2250Coma scale, best verbal response, oriented, unspecified time
- R40.2251Coma scale, best verbal response, oriented, in the field [EMT or ambulance]
- R40.2253Coma scale, best verbal response, oriented, at hospital admission
- R40.2254Coma scale, best verbal response, oriented, 24 hours or more after hospital admission
Questions about R40.2252
- Is R40.2252 a billable ICD-10-CM code?
- Yes. R40.2252 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R40.2252 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).