R40.2213 — Coma scale, best verbal response, none, at hospital admission
Is R40.2213 billable?
Yes — R40.2213 is billable for FY2027. R40.2213 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R40.2213 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R40.2213 at a glance
| Code | R40.2213 |
|---|---|
| Description | Coma scale, best verbal response, none, at hospital admission |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "3" | at hospital admission |
What does the 7th character "3" mean in R40.2213?
In R40.2213, the 7th character 3 means at hospital admission. The 7th character is required for R40.2213 to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
What Medicare edits apply to R40.2213?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name R40.2213 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does R40.2213 group to?
R40.2213 sits in MDC 01 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 080Nontraumatic Stupor and Coma with MCCmedical
- 081Nontraumatic Stupor and Coma without MCCmedical
As a secondary diagnosis, R40.2213 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.
How is R40.2213 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under R40.221, the nearest indexed parent of R40.2213. Use them to find the family, then select the specific code.
- Coma › with › verbal response
- Coma › with › verbal response › score of › 1
Inclusion terms
Alternative wording in documentation that is classified to R40.2213.
- Coma scale verbal score of 1
Excludes1 — never code together — inherited from R40
The conditions below can never be reported together with R40.2213 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 R40.2213. R40.2213 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 R40.2213, but a patient may have both at the same time. When documentation supports it, R40.2213 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R40-R46
The conditions below are not part of R40.2213, but a patient may have both at the same time. When documentation supports it, R40.2213 and the excluded code may both be reported.
- symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
How long has R40.2213 existed?
R40.2213 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.