R40.2253
R40.2253: Coma scale, best verbal response, oriented, at hospital admission
Billable / specific codeICD-10-CM
R40.2253 is a billable, specific ICD-10-CM code for coma scale, best verbal response, oriented, at hospital admission. It is valid for submission on a claim.
Check R40.2253 with the rest of the claim: free scrubber7th character "3": at hospital admission
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 R40.2253
A category’s note binds every code beneath it.
Other codes that can never be billed with R40.2253
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
R40.2253 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 R40.225
- 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
- R40.2254Coma scale, best verbal response, oriented, 24 hours or more after hospital admission