R40.22 — Coma scale, best verbal response
Is R40.22 billable?
No — R40.22 is a non-billable header code. R40.22 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 25 billable codes beneath R40.22.
Billable codes under this header
- R40.2210Coma scale, best verbal response, none, unspecified time
- R40.2211Coma scale, best verbal response, none, in the field [EMT or ambulance]
- R40.2212Coma scale, best verbal response, none, at arrival to emergency department
- R40.2213Coma scale, best verbal response, none, at hospital admission
- R40.2214Coma scale, best verbal response, none, 24 hours or more after hospital admission
- R40.2220Coma scale, best verbal response, incomprehensible words, unspecified time
- R40.2221Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance]
- R40.2222Coma scale, best verbal response, incomprehensible words, at arrival to emergency department
- R40.2223Coma scale, best verbal response, incomprehensible words, at hospital admission
- R40.2224Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admission
- R40.2230Coma scale, best verbal response, inappropriate words, unspecified time
- R40.2231Coma scale, best verbal response, inappropriate words, in the field [EMT or ambulance]
- R40.2232Coma scale, best verbal response, inappropriate words, at arrival to emergency department
- R40.2233Coma scale, best verbal response, inappropriate words, at hospital admission
- R40.2234Coma scale, best verbal response, inappropriate words, 24 hours or more after hospital admission
- R40.2240Coma scale, best verbal response, confused conversation, unspecified time
- R40.2241Coma scale, best verbal response, confused conversation, in the field [EMT or ambulance]
- R40.2242Coma scale, best verbal response, confused conversation, at arrival to emergency department
- R40.2243Coma scale, best verbal response, confused conversation, at hospital admission
- R40.2244Coma scale, best verbal response, confused conversation, 24 hours or more after hospital admission
- R40.2250Coma scale, best verbal response, oriented, unspecified time
- R40.2251Coma scale, best verbal response, oriented, in the field [EMT or ambulance]
- R40.2252Coma scale, best verbal response, oriented, at arrival to emergency department
- R40.2253Coma scale, best verbal response, oriented, at hospital admission
- R40.2254Coma scale, best verbal response, oriented, 24 hours or more after hospital admission
R40.22 at a glance
| Code | R40.22 |
|---|---|
| Description | Coma scale, best verbal response |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from R40
The conditions below can never be reported together with R40.22 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Code first — inherited from R40.2
The underlying condition below must be sequenced before R40.22. R40.22 describes a manifestation and cannot be the principal or first-listed diagnosis.
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R40.22, but a patient may have both at the same time. When documentation supports it, R40.22 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R40-R46
The conditions below are not part of R40.22, but a patient may have both at the same time. When documentation supports it, R40.22 and the excluded code may both be reported.
- symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
What codes fall under R40.22? (5)
- R40.221Coma scale, best verbal response, nonenot billable
- R40.222Coma scale, best verbal response, incomprehensible wordsnot billable
- R40.223Coma scale, best verbal response, inappropriate wordsnot billable
- R40.224Coma scale, best verbal response, confused conversationnot billable
- R40.225Coma scale, best verbal response, orientednot billable
How long has R40.22 existed?
R40.22 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.