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ICD-10-CM Current in FY 2027

R40.223

Coma scale, best verbal response, inappropriate words

Release
FY 2027
Effective

Hierarchy

Where R40.223 sits in the official hierarchy. Each level is the code it is classified under.

  1. R40 Somnolence, stupor and coma
  2. R40.2 Coma
  3. R40.22 Parent Coma scale, best verbal response
  4. R40.223 This code Coma scale, best verbal response, inappropriate words

Official Coding Notes

Reproduced verbatim from the FY 2027 ICD-10-CM files. Notes labelled as inherited are declared on a parent code and apply here too.

Inclusion Terms

Coma scale verbal score of 3

Inclusion Terms

Inappropriate crying or screaming (< 2 years of age)

Inclusion Terms

Screaming (2-5 years of age)

Excludes1

neonatal coma ( P91.5 )

Inherited from R40 — Somnolence, stupor and coma

Excludes1

somnolence, stupor and coma in diabetes (E08-E13)

Inherited from R40 — Somnolence, stupor and coma

Excludes1

somnolence, stupor and coma in hepatic failure ( K72 .-)

Inherited from R40 — Somnolence, stupor and coma

Excludes1

somnolence, stupor and coma in hypoglycemia (nondiabetic) ( E15 )

Inherited from R40 — Somnolence, stupor and coma

Code First

any associated:

Inherited from R40.2 — Coma

Code First

fracture of skull ( S02 .-)

Inherited from R40.2 — Coma

Code First

intracranial injury ( S06 .-)

Inherited from R40.2 — Coma

7th Character

The following appropriate 7th character is to be added to subcategory R40.22-:

Inherited from R40.22 — Coma scale, best verbal response

7th Character

0 - unspecified time

Inherited from R40.22 — Coma scale, best verbal response

7th Character

1 - in the field [EMT or ambulance]

Inherited from R40.22 — Coma scale, best verbal response

7th Character

2 - at arrival to emergency department

Inherited from R40.22 — Coma scale, best verbal response

7th Character

3 - at hospital admission

Inherited from R40.22 — Coma scale, best verbal response

7th Character

4 - 24 hours or more after hospital admission

Inherited from R40.22 — Coma scale, best verbal response

More Specific Codes

5 codes under R40.223

Version History

How R40.223 appears in each release imported from the official files, newest first.

  1. FY 2027 Effective

    Current

    Coma scale, best verbal response, inappropriate words

  2. FY 2026 Effective

    Unchanged

    Coma scale, best verbal response, inappropriate words

Other codes under R40.22

Data Source

Code information on this page is derived from the FY 2027 ICD-10-CM files published by CDC NCHS and CMS.

Release
FY 2027
Effective
Source file
icd10cm-code-descriptions-2027.zip

Official ICD-10-CM source files (opens in a new tab)

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