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Home/Diagnosis/ICD-10 Coding for Unresponsive

ICD-10 Coding for Unresponsive

R40.20
G93.41

Complete ICD-10-CM coding and documentation guide for icd-10 coding for unresponsive includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Altered Mental Status
Coma
Transient Alteration of Awareness
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Key Information: ICD-10 Coding for Unresponsive

Essential facts and insights about ICD-10 Coding for Unresponsive

Use ICD-10 code R40.20 for coma, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Coma, unspecified

Billable Code
R40.20
Billable

Diagnostic Criteria

clinical:
  • • Patient is unresponsive with no identifiable cause.
documentation:
  • • Lack of specific etiology documentation.

Applicable To

  • • Unresponsive state without known cause

Important Notes

  • • Ensure to document the absence of response to all stimuli and any available GCS scores.

Metabolic encephalopathy

Billable Code
G93.41
Billable

Diagnostic Criteria

clinical:
  • • Elevated ammonia levels
  • • Liver function tests indicating failure

Applicable To

  • • Encephalopathy due to metabolic causes

Important Notes

  • • Ensure to document specific metabolic derangements and their clinical evidence.
Ancillary Codes

Additional codes that may be used with this diagnosis

R41.82

Altered mental status, unspecified

Use when the patient shows fluctuating consciousness without meeting coma criteria.

R40.21

Deep coma

Use when the patient is in a deep coma due to metabolic encephalopathy.

Frequently Asked Questions

What is the ICD-10 code for unresponsive?

The ICD-10 code for an unresponsive state without a known cause is R40.20. If a specific cause is identified, use the appropriate etiology code.

How do you document an unresponsive patient?

Document the duration, stimuli tested, GCS score, and any associated symptoms. This ensures accurate coding and clinical understanding.

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