FY2027
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Excludes1 pair

R40- vs R40.1

R40 and R40.1 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on R40.1
coma (R40.2-)
R40

Somnolence, stupor and coma

Not billable
Chapter 18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Section
R40-R46
R40.1

Stupor

Billable
Chapter 18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Section
R40-R46
Use when the record says
  • Catatonic stupor
  • Semicoma
Indexed under
  • Clouded state
  • Semicoma
  • Stupor (catatonic)
  • Catatonic › stupor

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027