ICD-10 diagnosis code

R40 Somnolence, stupor and coma

This page in Swedish

R40 is the ICD-10 code for Somnolence, stupor and coma. It is a three-character category divided into 3 subcodes; use the subcode whenever the record supports that level of detail. It belongs to the block R40–R46 (Symptoms and signs involving cognition, perception, emotional state and behaviour) in Chapter XVIII, Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.

Code type
Category (3 characters)
Chapter
XVIII · R00–R99
Classification
WHO ICD-10, 2019 version

What R40 excludes

Conditions that look similar but belong under another code.

  • coma:
    • diabetic (with common fourth character .0) E10-E14
    • hepatic K72.-
    • hypoglycaemic (nondiabetic) E15
    • neonatal P91.5
    • uraemic N19

Subcodes of R40

R40 in national editions

Countries report with their own edition of ICD-10. Most keep the WHO code and add more specific codes beneath it.

SwedenICD-10-SE

R40Somnolens, stupor och koma

DenmarkICD-10-DK

DR40Bevidsthedspåvirkning

  • DR403Persisterende vegetativ tilstand
FinlandICD-10-FI

R40Uneliaisuus, horros tai tajuttomuus

GermanyICD-10-GM

R40Somnolenz, Sopor und Koma

FranceICD-10-FR

R40Somnolence, stupeur et coma

NetherlandsICD-10-NL

R40somnolentie, stupor en coma

United StatesICD-10-CM

Listed through more specific codes:

  • R40.3Persistent vegetative state
  • R40.4Transient alteration of awareness

Based on the World Health Organization’s International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), 2019 version, and the national editions published by each country’s health authority. This page is a reference, not coding advice; follow your national coding rules when you report.

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