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R40.2344

R40.2344Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission

Billable / specific codeICD-10-CM

R40.2344 is a billable, specific ICD-10-CM code for coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission. It is valid for submission on a claim.

7th character "4" — 24 hours or more after hospital admission

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

R40.2344 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

R40.2344 is named in 21 Medicare coverage policies 21 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 R40.2344 is not quite right, the correct code is usually one of these.

Questions about R40.2344

Is R40.2344 a billable ICD-10-CM code?
Yes. R40.2344 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R40.2344 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.