Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

Browse all the diagnosis codes used for symptoms and signs involving cognition, perception, emotional state and behavior (r40-r46). For easy navigation, the diagnosis codes are sorted in alphabetical order and grouped by sections. Each section is clearly marked with its description, and the corresponding three-digit code range. This format makes it simple to browse diagnosis codes in this chapter or section and find what you're looking for. We've also added green checkmark icons to label billable codes, and red warning icons for non-billable ones. This makes it easy to identify which codes can be billed.

Instructional Notations

Type 2 Excludes

A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

  • symptoms and signs constituting part of a pattern of mental disorder F01 F99
  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)

    • Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

        • Somnolence, stupor and coma (R40)

        • R40 Somnolence, stupor and coma
        • R40.0 Somnolence
        • R40.1 Stupor
        • R40.2 Coma
        • R40.20 Unspecified coma
        • R40.21 Coma scale, eyes open
        • R40.211 Coma scale, eyes open, never
        • R40.2110 Coma scale, eyes open, never, unspecified time
        • R40.2111 Coma scale, eyes open, never, in the field [EMT or ambulance]
        • R40.2112 Coma scale, eyes open, never, at arrival to emergency department
        • R40.2113 Coma scale, eyes open, never, at hospital admission
        • R40.2114 Coma scale, eyes open, never, 24 hours or more after hospital admission
        • R40.212 Coma scale, eyes open, to pain
        • R40.2120 Coma scale, eyes open, to pain, unspecified time
        • R40.2121 Coma scale, eyes open, to pain, in the field [EMT or ambulance]
        • R40.2122 Coma scale, eyes open, to pain, at arrival to emergency department
        • R40.2123 Coma scale, eyes open, to pain, at hospital admission
        • R40.2124 Coma scale, eyes open, to pain, 24 hours or more after hospital admission
        • R40.213 Coma scale, eyes open, to sound
        • R40.2130 Coma scale, eyes open, to sound, unspecified time
        • R40.2131 Coma scale, eyes open, to sound, in the field [EMT or ambulance]
        • R40.2132 Coma scale, eyes open, to sound, at arrival to emergency department
        • R40.2133 Coma scale, eyes open, to sound, at hospital admission
        • R40.2134 Coma scale, eyes open, to sound, 24 hours or more after hospital admission
        • R40.214 Coma scale, eyes open, spontaneous
        • R40.2140 Coma scale, eyes open, spontaneous, unspecified time
        • R40.2141 Coma scale, eyes open, spontaneous, in the field [EMT or ambulance]
        • R40.2142 Coma scale, eyes open, spontaneous, at arrival to emergency department
        • R40.2143 Coma scale, eyes open, spontaneous, at hospital admission
        • R40.2144 Coma scale, eyes open, spontaneous, 24 hours or more after hospital admission
        • R40.22 Coma scale, best verbal response
        • R40.221 Coma scale, best verbal response, none
        • R40.2210 Coma scale, best verbal response, none, unspecified time
        • R40.2211 Coma scale, best verbal response, none, in the field [EMT or ambulance]
        • R40.2212 Coma scale, best verbal response, none, at arrival to emergency department
        • R40.2213 Coma scale, best verbal response, none, at hospital admission
        • R40.2214 Coma scale, best verbal response, none, 24 hours or more after hospital admission
        • R40.222 Coma scale, best verbal response, incomprehensible words
        • R40.2220 Coma scale, best verbal response, incomprehensible words, unspecified time
        • R40.2221 Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance]
        • R40.2222 Coma scale, best verbal response, incomprehensible words, at arrival to emergency department
        • R40.2223 Coma scale, best verbal response, incomprehensible words, at hospital admission
        • R40.2224 Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admission
        • R40.223 Coma scale, best verbal response, inappropriate words
        • R40.2230 Coma scale, best verbal response, inappropriate words, unspecified time
        • R40.2231 Coma scale, best verbal response, inappropriate words, in the field [EMT or ambulance]
        • R40.2232 Coma scale, best verbal response, inappropriate words, at arrival to emergency department
        • R40.2233 Coma scale, best verbal response, inappropriate words, at hospital admission
        • R40.2234 Coma scale, best verbal response, inappropriate words, 24 hours or more after hospital admission
        • R40.224 Coma scale, best verbal response, confused conversation
        • R40.2240 Coma scale, best verbal response, confused conversation, unspecified time
        • R40.2241 Coma scale, best verbal response, confused conversation, in the field [EMT or ambulance]
        • R40.2242 Coma scale, best verbal response, confused conversation, at arrival to emergency department
        • R40.2243 Coma scale, best verbal response, confused conversation, at hospital admission
        • R40.2244 Coma scale, best verbal response, confused conversation, 24 hours or more after hospital admission
        • R40.225 Coma scale, best verbal response, oriented
        • R40.2250 Coma scale, best verbal response, oriented, unspecified time
        • R40.2251 Coma scale, best verbal response, oriented, in the field [EMT or ambulance]
        • R40.2252 Coma scale, best verbal response, oriented, at arrival to emergency department
        • R40.2253 Coma scale, best verbal response, oriented, at hospital admission
        • R40.2254 Coma scale, best verbal response, oriented, 24 hours or more after hospital admission
        • R40.23 Coma scale, best motor response
        • R40.231 Coma scale, best motor response, none
        • R40.2310 Coma scale, best motor response, none, unspecified time
        • R40.2311 Coma scale, best motor response, none, in the field [EMT or ambulance]
        • R40.2312 Coma scale, best motor response, none, at arrival to emergency department
        • R40.2313 Coma scale, best motor response, none, at hospital admission
        • R40.2314 Coma scale, best motor response, none, 24 hours or more after hospital admission
        • R40.232 Coma scale, best motor response, extension
        • R40.2320 Coma scale, best motor response, extension, unspecified time
        • R40.2321 Coma scale, best motor response, extension, in the field [EMT or ambulance]
        • R40.2322 Coma scale, best motor response, extension, at arrival to emergency department
        • R40.2323 Coma scale, best motor response, extension, at hospital admission
        • R40.2324 Coma scale, best motor response, extension, 24 hours or more after hospital admission
        • R40.233 Coma scale, best motor response, abnormal flexion
        • R40.2330 Coma scale, best motor response, abnormal flexion, unspecified time
        • R40.2331 Coma scale, best motor response, abnormal flexion, in the field [EMT or ambulance]
        • R40.2332 Coma scale, best motor response, abnormal flexion, at arrival to emergency department
        • R40.2333 Coma scale, best motor response, abnormal flexion, at hospital admission
        • R40.2334 Coma scale, best motor response, abnormal flexion, 24 hours or more after hospital admission
        • R40.234 Coma scale, best motor response, flexion withdrawal
        • R40.2340 Coma scale, best motor response, flexion withdrawal, unspecified time
        • R40.2341 Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]
        • R40.2342 Coma scale, best motor response, flexion withdrawal, at arrival to emergency department
        • R40.2343 Coma scale, best motor response, flexion withdrawal, at hospital admission
        • R40.2344 Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission
        • R40.235 Coma scale, best motor response, localizes pain
        • R40.2350 Coma scale, best motor response, localizes pain, unspecified time
        • R40.2351 Coma scale, best motor response, localizes pain, in the field [EMT or ambulance]
        • R40.2352 Coma scale, best motor response, localizes pain, at arrival to emergency department
        • R40.2353 Coma scale, best motor response, localizes pain, at hospital admission
        • R40.2354 Coma scale, best motor response, localizes pain, 24 hours or more after hospital admission
        • R40.236 Coma scale, best motor response, obeys commands
        • R40.2360 Coma scale, best motor response, obeys commands, unspecified time
        • R40.2361 Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]
        • R40.2362 Coma scale, best motor response, obeys commands, at arrival to emergency department
        • R40.2363 Coma scale, best motor response, obeys commands, at hospital admission
        • R40.2364 Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission
        • R40.24 Glasgow coma scale, total score
        • R40.241 Glasgow coma scale score 13-15
        • R40.2410 Glasgow coma scale score 13-15, unspecified time
        • R40.2411 Glasgow coma scale score 13-15, in the field [EMT or ambulance]
        • R40.2412 Glasgow coma scale score 13-15, at arrival to emergency department
        • R40.2413 Glasgow coma scale score 13-15, at hospital admission
        • R40.2414 Glasgow coma scale score 13-15, 24 hours or more after hospital admission
        • R40.242 Glasgow coma scale score 9-12
        • R40.2420 Glasgow coma scale score 9-12, unspecified time
        • R40.2421 Glasgow coma scale score 9-12, in the field [EMT or ambulance]
        • R40.2422 Glasgow coma scale score 9-12, at arrival to emergency department
        • R40.2423 Glasgow coma scale score 9-12, at hospital admission
        • R40.2424 Glasgow coma scale score 9-12, 24 hours or more after hospital admission
        • R40.243 Glasgow coma scale score 3-8
        • R40.2430 Glasgow coma scale score 3-8, unspecified time
        • R40.2431 Glasgow coma scale score 3-8, in the field [EMT or ambulance]
        • R40.2432 Glasgow coma scale score 3-8, at arrival to emergency department
        • R40.2433 Glasgow coma scale score 3-8, at hospital admission
        • R40.2434 Glasgow coma scale score 3-8, 24 hours or more after hospital admission
        • R40.244 Other coma, without documented Glasgow coma scale score, or with partial score reported
        • R40.2440 Other coma, without documented Glasgow coma scale score, or with partial score reported, unspecified time
        • R40.2441 Other coma, without documented Glasgow coma scale score, or with partial score reported, in the field [EMT or ambulance]
        • R40.2442 Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency department
        • R40.2443 Other coma, without documented Glasgow coma scale score, or with partial score reported, at hospital admission
        • R40.2444 Other coma, without documented Glasgow coma scale score, or with partial score reported, 24 hours or more after hospital admission
        • R40.2A Nontraumatic coma due to underlying condition NEW CODE
        • R40.3 Persistent vegetative state
        • R40.4 Transient alteration of awareness
        • Symptoms and signs involving appearance and behavior (R46)

        • R46 Symptoms and signs involving appearance and behavior
        • R46.0 Very low level of personal hygiene
        • R46.1 Bizarre personal appearance
        • R46.2 Strange and inexplicable behavior
        • R46.3 Overactivity
        • R46.4 Slowness and poor responsiveness
        • R46.5 Suspiciousness and marked evasiveness
        • R46.6 Undue concern and preoccupation with stressful events
        • R46.7 Verbosity and circumstantial detail obscuring reason for contact
        • R46.8 Other symptoms and signs involving appearance and behavior
        • R46.81 Obsessive-compulsive behavior
        • R46.89 Other symptoms and signs involving appearance and behavior