R40.2341

R40.2341: Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]

Billable / specific codeICD-10-CM

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.

Check R40.2341 with the rest of the claim: free scrubber

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)

Excludes1 inherited from the categories above R40.2341

A category’s note binds every code beneath it.

Written on R40: Somnolence, stupor and coma

neonatal coma (P91.5)
somnolence, stupor and coma in diabetes (E08-E13)
somnolence, stupor and coma in hepatic failure (K72.-)
somnolence, stupor and coma in hypoglycemia (nondiabetic) (E15)

Other codes that can never be billed with R40.2341

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

R40.2341 is named in 19 Medicare coverage policies: 19 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Code history

Unchanged in every release from FY2024 to FY2027.