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Home/Diagnosis/ICD-10 Coding for Unresponsive Episode

ICD-10 Coding for Unresponsive Episode

R40.20
G40.301
E11.641

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

Also Known as:
Unresponsiveness
Altered Mental Status
Coma
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Key Information: ICD-10 Coding for Unresponsive Episode

Essential facts and insights about ICD-10 Coding for Unresponsive Episode

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

Primary ICD-10-CM Codes

Unspecified coma

Billable Code
R40.20
Billable

Diagnostic Criteria

  • • GCS ≤8
  • • Duration >1 hour
  • • Exclusion of transient causes

Applicable To

  • • Coma NOS

Important Notes

  • • Ensure documentation supports the duration and severity of coma.

Generalized idiopathic epilepsy with status epilepticus

Billable Code
G40.301
Billable

Diagnostic Criteria

  • • EEG showing generalized spike-wave activity

Applicable To

  • • Status epilepticus

Important Notes

  • • Ensure EEG findings are documented to support the code.

Hypoglycemic coma

Billable Code
E11.641
Billable

Diagnostic Criteria

  • • Glucose <50 mg/dL
  • • Rapid reversal with dextrose

Applicable To

  • • Diabetic coma due to hypoglycemia

Important Notes

  • • Document exact glucose levels and response to treatment.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z86.73

Personal history of seizures

Use if unresponsiveness occurs in a patient with known epilepsy.

Frequently Asked Questions

What is the ICD-10 code for an unresponsive episode?

The ICD-10 code for an unresponsive episode depends on the duration and cause. R40.20 is used for unspecified coma, while R40.4 is for transient alteration of awareness.

How do you code unresponsiveness due to seizures?

For unresponsiveness due to seizures, use G40.301 for generalized idiopathic epilepsy with status epilepticus, confirmed by EEG.

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