R40.2: Coma
R40.23: Coma scale, best motor response

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

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 motor score of 1

inclusionTerm
Abnormal extensor posturing to pain or noxious stimuli (< 2 years of age)
Coma scale motor score of 2
Extensor posturing to pain or noxious stimuli (2-5 years of age)

inclusionTerm
Abnormal flexure posturing to pain or noxious stimuli (2-5 years of age)
Coma scale motor score of 3
Flexion/decorticate posturing (< 2 years of age)

inclusionTerm
Coma scale motor score of 4
Withdraws from pain or noxious stimuli (2-5 years of age)

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

inclusionTerm
Coma scale motor score of 6
Normal or spontaneous movement (< 2 years of age)
Obeys commands (2-5 years of age)
R40.231: Coma scale, best motor response, none
R40.232: Coma scale, best motor response, extension
R40.233: Coma scale, best motor response, abnormal flexion
R40.234: Coma scale, best motor response, flexion withdrawal
R40.235: Coma scale, best motor response, localizes pain
R40.236: Coma scale, best motor response, obeys commands

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