R40.236 — Coma scale, best motor response, obeys commands
R40.236 is a non-billable header ICD-10-CM code for coma scale, best motor response, obeys commands. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The following appropriate 7th character is to be added to subcategory R40.23-:
- 0
- unspecified time
- 1
- in the field [EMT or ambulance]
- 2
- at arrival to emergency department
- 3
- at hospital admission
- 4
- 24 hours or more after hospital admission
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Coma scale motor score of 6
- Normal or spontaneous movement (< 2 years of age)
- Obeys commands (2-5 years of age)
Risk adjustment
R40.236 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How R40.236 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R40.236.
- Coma›with›motor response›normal or spontaneous movement(< 2 years of age)
- Coma›with›motor response›obeys commands(2-5 years of age)
- Coma›with›motor response›score of›6
Code to one of these instead R40.236
5 child codes. Green means billable.
- R40.2360Coma scale, best motor response, obeys commands, unspecified time
- R40.2361Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]
- R40.2362Coma scale, best motor response, obeys commands, at arrival to emergency department
- R40.2363Coma scale, best motor response, obeys commands, at hospital admission
- R40.2364Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission
Related codes at this level
Codes that share R40.23. If R40.236 is not quite right, the correct code is usually one of these.
Questions about R40.236
- Is R40.236 a billable ICD-10-CM code?
- No. R40.236 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does R40.236 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46).