R40.2353 — Coma scale, best motor response, localizes pain, at hospital admission
R40.2353 is a billable, specific ICD-10-CM code for coma scale, best motor response, localizes pain, at hospital admission. It is valid for submission on a claim.
7th character "3" — at 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 5
- Localizes pain (2-5 years of age)
- Withdraws to touch (< 2 years of age)
Risk adjustment
R40.2353 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
R40.2353 is named in 2 Medicare coverage policies — 2 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
- A56771Billing and Coding: Special Electroencephalography
Related codes at this level
Codes that share R40.235. If R40.2353 is not quite right, the correct code is usually one of these.
- R40.2350Coma scale, best motor response, localizes pain, unspecified time
- R40.2351Coma scale, best motor response, localizes pain, in the field [EMT or ambulance]
- R40.2352Coma scale, best motor response, localizes pain, at arrival to emergency department
- R40.2354Coma scale, best motor response, localizes pain, 24 hours or more after hospital admission
Questions about R40.2353
- Is R40.2353 a billable ICD-10-CM code?
- Yes. R40.2353 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R40.2353 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).