Chapter 18

R00–R99: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

Symptoms, Signs and Abnormal Clinical and Laboratory Findings diagnostic classification updated for 2026.

Chapter Instructions

Excludes2(Not included here. Code separately if applicable.)
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)
Internal Codes
  • R40.2344

    Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission

  • R40.235

    Coma scale, best motor response, localizes pain

  • R40.2350

    Coma scale, best motor response, localizes pain, unspecified time

  • R40.2351

    Coma scale, best motor response, localizes pain, in the field [EMT or ambulance]

  • R40.2352

    Coma scale, best motor response, localizes pain, at arrival to emergency department

  • R40.2353

    Coma scale, best motor response, localizes pain, at hospital admission

  • R40.2354

    Coma scale, best motor response, localizes pain, 24 hours or more after hospital admission

  • R40.236

    Coma scale, best motor response, obeys commands

  • R40.2360

    Coma scale, best motor response, obeys commands, unspecified time

  • R40.2361

    Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]

  • R40.2362

    Coma scale, best motor response, obeys commands, at arrival to emergency department

  • R40.2363

    Coma scale, best motor response, obeys commands, at hospital admission

  • R40.2364

    Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission

  • R40.24

    Glasgow coma scale, total score

  • R40.241

    Glasgow coma scale score 13-15

  • R40.2410

    Glasgow coma scale score 13-15, unspecified time

  • R40.2411

    Glasgow coma scale score 13-15, in the field [EMT or ambulance]

  • R40.2412

    Glasgow coma scale score 13-15, at arrival to emergency department

  • R40.2413

    Glasgow coma scale score 13-15, at hospital admission

  • R40.2414

    Glasgow coma scale score 13-15, 24 hours or more after hospital admission

  • R40.242

    Glasgow coma scale score 9-12

  • R40.2420

    Glasgow coma scale score 9-12, unspecified time

  • R40.2421

    Glasgow coma scale score 9-12, in the field [EMT or ambulance]

  • R40.2422

    Glasgow coma scale score 9-12, at arrival to emergency department

  • R40.2423

    Glasgow coma scale score 9-12, at hospital admission

  • R40.2424

    Glasgow coma scale score 9-12, 24 hours or more after hospital admission

  • R40.243

    Glasgow coma scale score 3-8

  • R40.2430

    Glasgow coma scale score 3-8, unspecified time

  • R40.2431

    Glasgow coma scale score 3-8, in the field [EMT or ambulance]

  • R40.2432

    Glasgow coma scale score 3-8, at arrival to emergency department

  • R40.2433

    Glasgow coma scale score 3-8, at hospital admission

  • R40.2434

    Glasgow coma scale score 3-8, 24 hours or more after hospital admission

  • R40.244

    Other coma, without documented Glasgow coma scale score, or with partial score reported

  • R40.2440

    Other coma, without documented Glasgow coma scale score, or with partial score reported, unspecified time

  • R40.2441

    Other coma, without documented Glasgow coma scale score, or with partial score reported, in the field [EMT or ambulance]

  • R40.2442

    Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency department

  • R40.2443

    Other coma, without documented Glasgow coma scale score, or with partial score reported, at hospital admission

  • R40.2444

    Other coma, without documented Glasgow coma scale score, or with partial score reported, 24 hours or more after hospital admission

  • R40.2A

    Nontraumatic coma due to underlying condition

  • R40.3

    Persistent vegetative state

  • R40.4

    Transient alteration of awareness

  • R41

    Other symptoms and signs involving cognitive functions and awareness

  • R41.0

    Disorientation, unspecified

  • R41.1

    Anterograde amnesia

  • R41.2

    Retrograde amnesia

  • R41.3

    Other amnesia

  • R41.4

    Neurologic neglect syndrome

  • R41.8

    Other symptoms and signs involving cognitive functions and awareness

  • R41.81

    Age-related cognitive decline

  • R41.82

    Altered mental status, unspecified

PreviousPage 10 of 20Next