ICD-10-CM Code R40.235

Coma scale, best motor response, localizes pain

Version 2020 Non-Billable Code No Valid Principal Dx

Not Valid for Submission

R40.235 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of coma scale, best motor response, localizes pain. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:R40.235
Short Description:Coma scale, best motor response, localizes pain
Long Description:Coma scale, best motor response, localizes pain

Consider the following ICD-10 codes with a higher level of specificity:

  • R40.2350 - ... unspecified time
  • R40.2351 - ... in the field [EMT or ambulance]
  • R40.2352 - ... at arrival to emergency department
  • R40.2353 - ... at hospital admission
  • R40.2354 - ... 24 hours or more after hospital admission

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R40.235:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Coma scale motor score of 5
  • Localizes pain (2-5 years of age)
  • Withdraws to touch (< 2 years of age)

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R40.235 are found in the index:


Code Classification

  • 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)

Code History

  • 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