R40.2244 — Coma scale, best verbal response, confused conversation, 24 hours or more after hospital admission
Is R40.2244 billable?
Yes — R40.2244 is billable for FY2027. R40.2244 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R40.2244 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R40.2244 at a glance
| Code | R40.2244 |
|---|---|
| Description | Coma scale, best verbal response, confused conversation, 24 hours or more after hospital admission |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "4" | 24 hours or more after hospital admission |
What does the 7th character "4" mean in R40.2244?
In R40.2244, the 7th character 4 means 24 hours or more after hospital admission. The 7th character is required for R40.2244 to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
What Medicare edits apply to R40.2244?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name R40.2244 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 R40.2244 group to?
R40.2244 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 951Other Factors Influencing Health Statusmedical
How is R40.2244 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under R40.224, the nearest indexed parent of R40.2244. Use them to find the family, then select the specific code.
- Coma › with › verbal response › confused conversation
- Coma › with › verbal response › inappropriate words
- Coma › with › verbal response › irritable cries
- Coma › with › verbal response › score of › 4
Inclusion terms
Alternative wording in documentation that is classified to R40.2244.
- Coma scale verbal score of 4
- Inappropriate words (2-5 years of age)
- Irritable cries (< 2 years of age)
Excludes1 — never code together — inherited from R40
The conditions below can never be reported together with R40.2244 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 R40.2244. R40.2244 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 R40.2244, but a patient may have both at the same time. When documentation supports it, R40.2244 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R40-R46
The conditions below are not part of R40.2244, but a patient may have both at the same time. When documentation supports it, R40.2244 and the excluded code may both be reported.
- symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
How long has R40.2244 existed?
R40.2244 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.