Is R40.2332 a billable ICD-10-CM code?

Yes. R40.2332 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R40.2332 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).

R40.2332

R40.2332 — Coma scale, best motor response, abnormal flexion, at arrival to emergency department

Billable / specific codeICD-10-CM

R40.2332 is a billable, specific ICD-10-CM code for coma scale, best motor response, abnormal flexion, 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 R40.23-:

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.

Abnormal flexure posturing to pain or noxious stimuli (2-5 years of age)
Coma scale motor score of 3
Flexion/decorticate posturing (< 2 years of age)

Risk adjustment

R40.2332 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

R40.2332 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 R40.233. If R40.2332 is not quite right, the correct code is usually one of these.

Questions about R40.2332

Is R40.2332 a billable ICD-10-CM code?: Yes. R40.2332 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R40.2332 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).