R40
Non-Billable

Somnolence, stupor and coma

Non-Billable / Non-Specific Code

What is Somnolence, stupor and coma?

ICD-10-CM R40 is the diagnosis code for Somnolence, stupor and coma. This code falls under the section "Symptoms and signs involving cognition, perception, emotional state and behavior" within Chapter 18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for R40

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as R40. They are mutually exclusive:

  • 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)

ICD-10-CM Code Hierarchy

Understanding where R40 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 5 entries
R40.0SomnolenceBillableR40.1StuporBillableR40.2ComaNon-BillableR40.20Unspecified comaBillableR40.21Coma scale, eyes openNon-BillableR40.211Coma scale, eyes open, neverBillableR40.212Coma scale, eyes open, to painBillableR40.213Coma scale, eyes open, to soundBillableR40.214Coma scale, eyes open, spontaneousBillableR40.22Coma scale, best verbal responseNon-BillableR40.221Coma scale, best verbal response, noneBillableR40.222Coma scale, best verbal response, incomprehensible wordsBillableR40.223Coma scale, best verbal response, inappropriate wordsBillableR40.224Coma scale, best verbal response, confused conversationBillableR40.225Coma scale, best verbal response, orientedBillableR40.23Coma scale, best motor responseNon-BillableR40.231Coma scale, best motor response, noneBillableR40.232Coma scale, best motor response, extensionBillableR40.233Coma scale, best motor response, abnormal flexionBillableR40.234Coma scale, best motor response, flexion withdrawalBillableR40.235Coma scale, best motor response, localizes painBillableR40.236Coma scale, best motor response, obeys commandsBillableR40.24Glasgow coma scale, total scoreNon-BillableR40.241Glasgow coma scale score 13-15BillableR40.242Glasgow coma scale score 9-12BillableR40.243Glasgow coma scale score 3-8BillableR40.244Other coma, without documented Glasgow coma scale score, or with partial score reportedBillableR40.2ANontraumatic coma due to underlying conditionBillableR40.3Persistent vegetative stateBillableR40.4Transient alteration of awarenessBillable
Related Codes

Frequently Asked Questions

Is R40 a billable ICD-10-CM code?

No, R40 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does R40 mean?

R40 is the ICD-10-CM diagnosis code for "Somnolence, stupor and coma". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is R40 in?

R40 is located in Section R40-R46 — "Symptoms and signs involving cognition, perception, emotional state and behavior" within Chapter 18 of the ICD-10-CM Tabular List.

What are the sub-codes of R40?

R40 has 5 sub-code(s) that provide more specific detail: R40.0, R40.1, R40.2, R40.3, R40.4.

When should I use R40?

Use R40 when the patients documented diagnosis matches "Somnolence, stupor and coma" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Somnolence, stupor and coma?

The ICD-10-CM code for Somnolence, stupor and coma is R40.

Can R40 be used for primary diagnosis?

No, R40 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is R40 in?

R40 is in Chapter 18 of the ICD-10-CM Tabular List.

What conditions are excluded from R40?

Type 1 Excludes for R40 include: neonatal coma (P91.5); somnolence, stupor and coma in diabetes (E08-E13); somnolence, stupor and coma in hepatic failure (K72.-) and more.

Is R40 valid for 2026?

Yes, R40 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousR39.9Unspecified symptoms and signs involving the genitourinary systemNext →R40.0Somnolence
Code Details
R40
Somnolence, stupor and coma
Non-Billable / Non-Specific Code
18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R40-R46 — Symptoms and signs involving cognition, perception, emotional state and behavior
2026 ICD-10-CM