R40.2352

Coma scale, best motor response, localizes pain, at arrival to emergency department

Billable code

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from R40.235Coma scale, best motor response, localizes pain
Synonyms

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

Inherited from R40.23Coma scale, best motor response
7th character

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

Valid 7th characters and their meanings
CharacterMeaning
0unspecified time
1in the field [EMT or ambulance]
2at arrival to emergency department
3at hospital admission
424 hours or more after hospital admission
Inherited from R40.2Coma
Code first

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

Note

One code from each subcategory, R40.21-R40.23, is required to complete the coma scale

Inherited from R40Somnolence, stupor and coma
Excludes 1

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)

Inherited from R40-R46Symptoms and signs involving cognition, perception, emotional state and behavior
Excludes 2

symptoms and signs constituting part of a pattern of mental disorder (F01-F99)

Inherited from chapter 18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Excludes 2

abnormal findings on antenatal screening of mother (O28.-) certain conditions originating in the perinatal period (P04-P96) signs and symptoms classified in the body system chapters signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded. Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification. The conditions and signs or symptoms included in categories R00-R94 consist of: (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated; (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; (c) provisional diagnosis in a patient who failed to return for further investigation or care; (d) cases referred elsewhere for investigation or treatment before the diagnosis was made; (e) cases in which a more precise diagnosis was not available for any other reason; (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Official Guidelines for R40.2352

FY 2026 ›