ICD10

ICD-10 Code R40.21: Coma scale, eyes open

R40.21 is an ICD-10 diagnosis entry used to group records related to Coma scale, eyes open. You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen. ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99).

Reviewed by HealthAssure Clinical TeamUpdated 21 May 2026

What is this code?

ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99).

When is it used?

  • May be used when a clinician documents coma scale, eyes open in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code may act more like a grouping or parent code, so a more specific child code may be used in final documentation when available.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
  • This entry may represent a broader category rather than the most specific billable code.

Code hierarchy

chapter
18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
block
R40-R46Symptoms and signs involving cognition, perception, emotional state and behavior
category
R40Somnolence, stupor and coma
category
R40.2Coma
currentR40.2

Official coding notes

7th character notes
  • The following appropriate 7th character is to be added to subcategory R40.21-:
  • unspecified time
  • in the field [EMT or ambulance]
  • at arrival to emergency department
  • at hospital admission
  • 24 hours or more after hospital admission

Where you may see this code

You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen.

Related specialists

General PhysicianOphthalmologist

Coding guidelines

Common synonyms

Coma scale, eyes open

Frequently asked questions

Code details

CodeR40.21
SystemICD10
Display nameComa scale, eyes open
ChapterSymptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
BlockSymptoms and signs involving cognition, perception, emotional state and behavior

Flags

BillableNo
Valid clinical useNo

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

ICD-10 Code R40.21 for Coma scale, eyes open | HealthAssure