R40-R46
Symptoms and signs involving cognition, perception, emotional state and behavior
Block coding notes
Excludes 1 never together · Excludes 2 may co-exist
Excludes 2
symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
Codes in this block
192 codes
Billableusable codeNon-billableheader / grouping codeRisk-adjusting
- R40Somnolence, stupor and comaNon-billable
- R40.0SomnolenceBillable
- R40.1StuporBillable
- R40.2ComaNon-billable
- R40.20Unspecified comaBillable
- R40.21Coma scale, eyes openNon-billable
- R40.211Coma scale, eyes open, neverNon-billable
- R40.2110Coma scale, eyes open, never, unspecified timeBillable
- R40.2111Coma scale, eyes open, never, in the field [EMT or ambulance]Billable
- R40.2112Coma scale, eyes open, never, at arrival to emergency departmentBillable
- R40.2113Coma scale, eyes open, never, at hospital admissionBillable
- R40.2114Coma scale, eyes open, never, 24 hours or more after hospital admissionBillable
- R40.212Coma scale, eyes open, to painNon-billable
- R40.2120Coma scale, eyes open, to pain, unspecified timeBillable
- R40.2121Coma scale, eyes open, to pain, in the field [EMT or ambulance]Billable
- R40.2122Coma scale, eyes open, to pain, at arrival to emergency departmentBillable
- R40.2123Coma scale, eyes open, to pain, at hospital admissionBillable
- R40.2124Coma scale, eyes open, to pain, 24 hours or more after hospital admissionBillable
- R40.213Coma scale, eyes open, to soundNon-billable
- R40.2130Coma scale, eyes open, to sound, unspecified timeBillable
- R40.2131Coma scale, eyes open, to sound, in the field [EMT or ambulance]Billable
- R40.2132Coma scale, eyes open, to sound, at arrival to emergency departmentBillable
- R40.2133Coma scale, eyes open, to sound, at hospital admissionBillable
- R40.2134Coma scale, eyes open, to sound, 24 hours or more after hospital admissionBillable
- R40.214Coma scale, eyes open, spontaneousNon-billable
- R40.2140Coma scale, eyes open, spontaneous, unspecified timeBillable
- R40.2141Coma scale, eyes open, spontaneous, in the field [EMT or ambulance]Billable
- R40.2142Coma scale, eyes open, spontaneous, at arrival to emergency departmentBillable
- R40.2143Coma scale, eyes open, spontaneous, at hospital admissionBillable
- R40.2144Coma scale, eyes open, spontaneous, 24 hours or more after hospital admissionBillable
- R40.22Coma scale, best verbal responseNon-billable
- R40.221Coma scale, best verbal response, noneNon-billable
- R40.2210Coma scale, best verbal response, none, unspecified timeBillable
- R40.2211Coma scale, best verbal response, none, in the field [EMT or ambulance]Billable
- R40.2212Coma scale, best verbal response, none, at arrival to emergency departmentBillable
- R40.2213Coma scale, best verbal response, none, at hospital admissionBillable
- R40.2214Coma scale, best verbal response, none, 24 hours or more after hospital admissionBillable
- R40.222Coma scale, best verbal response, incomprehensible wordsNon-billable
- R40.2220Coma scale, best verbal response, incomprehensible words, unspecified timeBillable
- R40.2221Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance]Billable
- R40.2222Coma scale, best verbal response, incomprehensible words, at arrival to emergency departmentBillable
- R40.2223Coma scale, best verbal response, incomprehensible words, at hospital admissionBillable
- R40.2224Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admissionBillable
- R40.223Coma scale, best verbal response, inappropriate wordsNon-billable
- R40.2230Coma scale, best verbal response, inappropriate words, unspecified timeBillable
- R40.2231Coma scale, best verbal response, inappropriate words, in the field [EMT or ambulance]Billable
- R40.2232Coma scale, best verbal response, inappropriate words, at arrival to emergency departmentBillable
- R40.2233Coma scale, best verbal response, inappropriate words, at hospital admissionBillable
- R40.2234Coma scale, best verbal response, inappropriate words, 24 hours or more after hospital admissionBillable
- R40.224Coma scale, best verbal response, confused conversationNon-billable
- R40.2240Coma scale, best verbal response, confused conversation, unspecified timeBillable
- R40.2241Coma scale, best verbal response, confused conversation, in the field [EMT or ambulance]Billable
- R40.2242Coma scale, best verbal response, confused conversation, at arrival to emergency departmentBillable
- R40.2243Coma scale, best verbal response, confused conversation, at hospital admissionBillable
- R40.2244Coma scale, best verbal response, confused conversation, 24 hours or more after hospital admissionBillable
- R40.225Coma scale, best verbal response, orientedNon-billable
- R40.2250Coma scale, best verbal response, oriented, unspecified timeBillable
- R40.2251Coma scale, best verbal response, oriented, in the field [EMT or ambulance]Billable
- R40.2252Coma scale, best verbal response, oriented, at arrival to emergency departmentBillable
- R40.2253Coma scale, best verbal response, oriented, at hospital admissionBillable
- R40.2254Coma scale, best verbal response, oriented, 24 hours or more after hospital admissionBillable
- R40.23Coma scale, best motor responseNon-billable
- R40.231Coma scale, best motor response, noneNon-billable
- R40.2310Coma scale, best motor response, none, unspecified timeBillable
- R40.2311Coma scale, best motor response, none, in the field [EMT or ambulance]Billable
- R40.2312Coma scale, best motor response, none, at arrival to emergency departmentBillable
- R40.2313Coma scale, best motor response, none, at hospital admissionBillable
- R40.2314Coma scale, best motor response, none, 24 hours or more after hospital admissionBillable
- R40.232Coma scale, best motor response, extensionNon-billable
- R40.2320Coma scale, best motor response, extension, unspecified timeBillable
- R40.2321Coma scale, best motor response, extension, in the field [EMT or ambulance]Billable
- R40.2322Coma scale, best motor response, extension, at arrival to emergency departmentBillable
- R40.2323Coma scale, best motor response, extension, at hospital admissionBillable
- R40.2324Coma scale, best motor response, extension, 24 hours or more after hospital admissionBillable
- R40.233Coma scale, best motor response, abnormal flexionNon-billable
- R40.2330Coma scale, best motor response, abnormal flexion, unspecified timeBillable
- R40.2331Coma scale, best motor response, abnormal flexion, in the field [EMT or ambulance]Billable
- R40.2332Coma scale, best motor response, abnormal flexion, at arrival to emergency departmentBillable
- R40.2333Coma scale, best motor response, abnormal flexion, at hospital admissionBillable
- R40.2334Coma scale, best motor response, abnormal flexion, 24 hours or more after hospital admissionBillable
- R40.234Coma scale, best motor response, flexion withdrawalNon-billable
- R40.2340Coma scale, best motor response, flexion withdrawal, unspecified timeBillable
- R40.2341Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]Billable
- R40.2342Coma scale, best motor response, flexion withdrawal, at arrival to emergency departmentBillable
- R40.2343Coma scale, best motor response, flexion withdrawal, at hospital admissionBillable
- R40.2344Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admissionBillable
- R40.235Coma scale, best motor response, localizes painNon-billable
- R40.2350Coma scale, best motor response, localizes pain, unspecified timeBillable
- R40.2351Coma scale, best motor response, localizes pain, in the field [EMT or ambulance]Billable
- R40.2352Coma scale, best motor response, localizes pain, at arrival to emergency departmentBillable
- R40.2353Coma scale, best motor response, localizes pain, at hospital admissionBillable
- R40.2354Coma scale, best motor response, localizes pain, 24 hours or more after hospital admissionBillable
- R40.236Coma scale, best motor response, obeys commandsNon-billable
- R40.2360Coma scale, best motor response, obeys commands, unspecified timeBillable
- R40.2361Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]Billable
- R40.2362Coma scale, best motor response, obeys commands, at arrival to emergency departmentBillable
- R40.2363Coma scale, best motor response, obeys commands, at hospital admissionBillable
- R40.2364Coma scale, best motor response, obeys commands, 24 hours or more after hospital admissionBillable
- R40.24Glasgow coma scale, total scoreNon-billable
- R40.241Glasgow coma scale score 13-15Non-billable
- R40.2410Glasgow coma scale score 13-15, unspecified timeBillable
- R40.2411Glasgow coma scale score 13-15, in the field [EMT or ambulance]Billable
- R40.2412Glasgow coma scale score 13-15, at arrival to emergency departmentBillable
- R40.2413Glasgow coma scale score 13-15, at hospital admissionBillable
- R40.2414Glasgow coma scale score 13-15, 24 hours or more after hospital admissionBillable
- R40.242Glasgow coma scale score 9-12Non-billable
- R40.2420Glasgow coma scale score 9-12, unspecified timeBillable
- R40.2421Glasgow coma scale score 9-12, in the field [EMT or ambulance]Billable
- R40.2422Glasgow coma scale score 9-12, at arrival to emergency departmentBillable
- R40.2423Glasgow coma scale score 9-12, at hospital admissionBillable
- R40.2424Glasgow coma scale score 9-12, 24 hours or more after hospital admissionBillable
- R40.243Glasgow coma scale score 3-8Non-billable
- R40.2430Glasgow coma scale score 3-8, unspecified timeBillable
- R40.2431Glasgow coma scale score 3-8, in the field [EMT or ambulance]Billable
- R40.2432Glasgow coma scale score 3-8, at arrival to emergency departmentBillable
- R40.2433Glasgow coma scale score 3-8, at hospital admissionBillable
- R40.2434Glasgow coma scale score 3-8, 24 hours or more after hospital admissionBillable
- R40.244Other coma, without documented Glasgow coma scale score, or with partial score reportedNon-billable
- R40.2440Other coma, without documented Glasgow coma scale score, or with partial score reported, unspecified timeBillable
- R40.2441Other coma, without documented Glasgow coma scale score, or with partial score reported, in the field [EMT or ambulance]Billable
- R40.2442Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency departmentBillable
- R40.2443Other coma, without documented Glasgow coma scale score, or with partial score reported, at hospital admissionBillable
- R40.2444Other coma, without documented Glasgow coma scale score, or with partial score reported, 24 hours or more after hospital admissionBillable
- R40.2ANontraumatic coma due to underlying conditionBillable
- R40.3Persistent vegetative stateBillable
- R40.4Transient alteration of awarenessBillable
- R41Other symptoms and signs involving cognitive functions and awarenessNon-billable
- R41.0Disorientation, unspecifiedBillable
- R41.1Anterograde amnesiaBillable
- R41.2Retrograde amnesiaBillable
- R41.3Other amnesiaBillable
- R41.4Neurologic neglect syndromeBillable
- R41.8Other symptoms and signs involving cognitive functions and awarenessNon-billable
- R41.81Age-related cognitive declineBillable
- R41.82Altered mental status, unspecifiedBillable
- R41.83Borderline intellectual functioningBillable
- R41.84Other specified cognitive deficitNon-billable
- R41.840Attention and concentration deficitBillable
- R41.841Cognitive communication deficitBillable
- R41.842Visuospatial deficitBillable
- R41.843Psychomotor deficitBillable
- R41.844Frontal lobe and executive function deficitBillable
- R41.85AnosognosiaBillable
- R41.89Other symptoms and signs involving cognitive functions and awarenessBillable
- R41.9Unspecified symptoms and signs involving cognitive functions and awarenessBillable
- R42Dizziness and giddinessBillable
- R43Disturbances of smell and tasteNon-billable
- R43.0AnosmiaBillable
- R43.1ParosmiaBillable
- R43.2ParageusiaBillable
- R43.8Other disturbances of smell and tasteBillable
- R43.9Unspecified disturbances of smell and tasteBillable
- R44Other symptoms and signs involving general sensations and perceptionsNon-billable
- R44.0Auditory hallucinationsBillable
- R44.1Visual hallucinationsBillable
- R44.2Other hallucinationsBillable
- R44.3Hallucinations, unspecifiedBillable
- R44.8Other symptoms and signs involving general sensations and perceptionsBillable
- R44.9Unspecified symptoms and signs involving general sensations and perceptionsBillable
- R45Symptoms and signs involving emotional stateNon-billable
- R45.0NervousnessBillable
- R45.1Restlessness and agitationBillable
- R45.2UnhappinessBillable
- R45.3Demoralization and apathyBillable
- R45.4Irritability and angerBillable
- R45.5HostilityBillable
- R45.6Violent behaviorBillable
- R45.7State of emotional shock and stress, unspecifiedBillable
- R45.8Other symptoms and signs involving emotional stateNon-billable
- R45.81Low self-esteemBillable
- R45.82WorriesBillable
- R45.83Excessive crying of child, adolescent or adultBillable
- R45.84AnhedoniaBillable
- R45.85Homicidal and suicidal ideationsNon-billable
- R45.850Homicidal ideationsBillable
- R45.851Suicidal ideationsBillable
- R45.86Emotional labilityBillable
- R45.87ImpulsivenessBillable
- R45.88Nonsuicidal self-harmBillable
- R45.89Other symptoms and signs involving emotional stateBillable
- R46Symptoms and signs involving appearance and behaviorNon-billable
- R46.0Very low level of personal hygieneBillable
- R46.1Bizarre personal appearanceBillable
- R46.2Strange and inexplicable behaviorBillable
- R46.3OveractivityBillable
- R46.4Slowness and poor responsivenessBillable
- R46.5Suspiciousness and marked evasivenessBillable
- R46.6Undue concern and preoccupation with stressful eventsBillable
- R46.7Verbosity and circumstantial detail obscuring reason for contactBillable
- R46.8Other symptoms and signs involving appearance and behaviorNon-billable
- R46.81Obsessive-compulsive behaviorBillable
- R46.89Other symptoms and signs involving appearance and behaviorBillable
Official Guidelines for R40-R46
FY 2026 ›Sections that reference codes in R40-R46