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CDI ICD-10-CM Documentation Tips: Coma

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CDI ICD-10-CM Documentation Tips: Coma

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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 1

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