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1. CDI ICD-10-CM Documentation Tips: Coma ICD-10-CM will expand coma to include coding for somnolence, stupor, and coma
Somnolence (R40.0) = drowsiness
Stupor (R40.1) = catatonic stupor or semi-coma
Coma (R40.2-) = unconsciousness
Any associated skull fracture or intracranial injury would be coded first
7th character required
Glasgow (coma scale) score available Glasgow (coma scale) score available
Typically reported as a total score 0-15
Higher score = higher functioning
ICD-10-CM coding will need the score from each of the assessment areas
Eye opening
Verbal response
Motor response
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