R40.223 — Coma scale, best verbal response, inappropriate words
Is R40.223 billable?
No — R40.223 is a non-billable header code. R40.223 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 5 billable codes beneath R40.223.
Billable codes under this header
- 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
R40.223 at a glance
| Code | R40.223 |
|---|---|
| Description | Coma scale, best verbal response, inappropriate words |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is R40.223 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R40.223. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Coma › with › verbal response › inappropriate crying or screaming
- Coma › with › verbal response › inappropriate words
- Coma › with › verbal response › screaming
- Coma › with › verbal response › score of › 3
Inclusion terms
Alternative wording in documentation that is classified to R40.223.
- Coma scale verbal score of 3
- Inappropriate crying or screaming (< 2 years of age)
- Screaming (2-5 years of age)
Excludes1 — never code together — inherited from R40
The conditions below can never be reported together with R40.223 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 R40.223. R40.223 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 R40.223, but a patient may have both at the same time. When documentation supports it, R40.223 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R40-R46
The conditions below are not part of R40.223, but a patient may have both at the same time. When documentation supports it, R40.223 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 R40.223? (5)
- 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
How long has R40.223 existed?
R40.223 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.