Valid for Submission
R40.2221 is a billable code used to specify a medical diagnosis of coma scale, best verbal response, incomprehensible words, in the field [emt or ambulance]. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.
The code R40.2221 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.
|Short Description:||Coma scale, best verb, incomprehensible words, in the field|
|Long Description:||Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance]|
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
Convert R40.2221 to ICD-9
- 780.01 - Coma (Approximate Flag)
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)
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
(First year ICD-10-CM implemented into the HIPAA code set)
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020