R40.2: Coma
R40.22: Coma scale, best verbal response

sevenChrNote
The following appropriate 7th character is to be added to subcategory R40.22-:

sevenChrDef
0: unspecified time
1: in the field [EMT or ambulance]
2: at arrival to emergency department
3: at hospital admission
4: 24 hours or more after hospital admission

inclusionTerm
Coma scale verbal score of 1

inclusionTerm
Coma scale verbal score of 2
Incomprehensible sounds (2-5 years of age)
Moans/grunts to pain; restless (< 2 years old)

inclusionTerm
Coma scale verbal score of 3
Inappropriate crying or screaming (< 2 years of age)
Screaming (2-5 years of age)

inclusionTerm
Coma scale verbal score of 4
Inappropriate words (2-5 years of age)
Irritable cries (< 2 years of age)

inclusionTerm
Coma scale verbal score of 5
Cooing or babbling or crying appropriately (< 2 years of age)
Uses appropriate words (2- 5 years of age)
R40.221: Coma scale, best verbal response, none
R40.222: Coma scale, best verbal response, incomprehensible words
R40.223: Coma scale, best verbal response, inappropriate words
R40.224: Coma scale, best verbal response, confused conversation
R40.225: Coma scale, best verbal response, oriented

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