ICD-10-CM R40: Somnolence, stupor and coma

• neonatal coma (P91.5)
• somnolence, stupor and coma in diabetes (E08-E13)
• somnolence, stupor and coma in hepatic failure (K72.-)
• somnolence, stupor and coma in hypoglycemia (nondiabetic) (E15)

coma (R40.2-)

• catatonic schizophrenia (F20.2)
• coma (R40.2-)
• depressive stupor (F31-F33)
• dissociative stupor (F44.2)
• manic stupor (F30.2)

• any associated:
• fracture of skull (S02.-)
• intracranial injury (S06.-)

underlying condition

Drowsiness

• Catatonic stupor
• Semicoma

• Coma NOS
• Unconsciousness NOS

Coma scale eye opening score of 1

Coma scale eye opening score of 2

Coma scale eye opening score of 3

Coma scale eye opening score of 4

Coma scale verbal score of 1

• Coma scale verbal score of 2
• Incomprehensible sounds (2-5 years of age)
• Moans/grunts to pain
• restless (<2 years old)

• Coma scale verbal score of 3
• Inappropriate crying or screaming (< 2 years of age)
• Screaming (2-5 years of age)

• Coma scale verbal score of 4
• Inappropriate words (2-5 years of age)
• Irritable cries (< 2 years of age)

• Coma scale verbal score of 5
• Cooing or babbling or crying appropriately (< 2 years of age)
• Uses appropriate words (2- 5 years of age)

Coma scale motor score of 1

• Abnormal extensor posturing to pain or noxious stimuli (< 2 years of age)
• Coma scale motor score of 2
• Extensor posturing to pain or noxious stimuli (2-5 years of age)

• Abnormal flexure posturing to pain or noxious stimuli (2-5 years of age)
• Coma scale motor score of 3
• Flexion/decorticate posturing (< 2 years of age)

• Coma scale motor score of 4
• Withdraws from pain or noxious stimuli (2-5 years of age)

• Coma scale motor score of 5
• Localizes pain (2-5 years of age)
• Withdraws to touch (< 2 years of age)

• Coma scale motor score of 6
• Normal or spontaneous movement (< 2 years of age)
• Obeys commands (2-5 years of age)

Secondary coma

The following appropriate 7th character is to be added to subcategory R40.21-:

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

The following appropriate 7th character is to be added to subcategory R40.23-:

The following appropriate 7th character is to be added to subcategory R40.24-: