R40.2341 — Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]
R40.2341 is a billable, specific ICD-10-CM code for coma scale, best motor response, flexion withdrawal, in the field [emt or ambulance]. It is valid for submission on a claim.
7th character "1" — in the field [EMT or ambulance]
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.
- Coma scale motor score of 4
- Withdraws from pain or noxious stimuli (2-5 years of age)
Risk adjustment
R40.2341 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
R40.2341 is named in 20 Medicare coverage policies — 20 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54799Billing and Coding: Urine Drug Testing
- A55001Billing and Coding: Urine Drug Testing
- A56612Billing and Coding: CT of the Head
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Related codes at this level
Codes that share R40.234. If R40.2341 is not quite right, the correct code is usually one of these.
- R40.2340Coma scale, best motor response, flexion withdrawal, unspecified time
- R40.2342Coma scale, best motor response, flexion withdrawal, at arrival to emergency department
- R40.2343Coma scale, best motor response, flexion withdrawal, at hospital admission
- R40.2344Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission
Questions about R40.2341
- Is R40.2341 a billable ICD-10-CM code?
- Yes. R40.2341 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R40.2341 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).