R40.2364
R40.2364: Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission
Billable / specific codeICD-10-CM
R40.2364 is a billable, specific ICD-10-CM code for coma scale, best motor response, obeys commands, 24 hours or more after hospital admission. It is valid for submission on a claim.
Check R40.2364 with the rest of the claim: free scrubber7th 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 6
- Normal or spontaneous movement (< 2 years of age)
- Obeys commands (2-5 years of age)
Excludes1 inherited from the categories above R40.2364
A category’s note binds every code beneath it.
Other codes that can never be billed with R40.2364
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
R40.2364 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
- A56771Billing and Coding: Special Electroencephalography
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under R40.236
- R40.2360Coma scale, best motor response, obeys commands, unspecified time
- R40.2361Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]
- R40.2362Coma scale, best motor response, obeys commands, at arrival to emergency department
- R40.2363Coma scale, best motor response, obeys commands, at hospital admission