2019 ICD-10-CM Diagnosis Code R40.3

Persistent vegetative state

    2016 2017 2018 2019 Billable/Specific Code
  • R40.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM R40.3 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of R40.3 - other international versions of ICD-10 R40.3 may differ.
The following code(s) above R40.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R40.3:
  • R00-R99
    2019 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • 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)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R40-R46
    2019 ICD-10-CM Range R40-R46

    Symptoms and signs involving cognition, perception, emotional state and behavior

    Type 2 Excludes
    • symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
    Symptoms and signs involving cognition, perception, emotional state and behavior
  • R40
    ICD-10-CM Diagnosis Code R40

    Somnolence, stupor and coma

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • neonatal coma (P91.5)
    • somnolence, stupor and coma in diabetes (E08-E13)
    • somnolence, stupor and coma in hepatic failure (K72.-)
    • somnolence, stupor and coma in hypoglycemia (nondiabetic) (E15)
    Somnolence, stupor and coma
Clinical Information
  • Vegetative state refers to the neurocognitive status of individuals with severe brain damage, in whom physiologic functions (sleep-wake cycles, autonomic control, and breathing) persist, but awareness (including all cognitive function and emotion) is abolished.
ICD-10-CM R40.3 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 080 Nontraumatic stupor and coma with mcc
  • 081 Nontraumatic stupor and coma without mcc
  • 793 Full term neonate with major problems

Convert R40.3 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change

Diagnosis Index entries containing back-references to R40.3:
  • Coma R40.20
    ICD-10-CM Diagnosis Code R40.20

    Unspecified coma

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Coma NOS
    • Unconsciousness NOS
    • persistent vegetative state R40.3
  • State (of)
    • persistent vegetative R40.3
    • vegetative, persistent R40.3

ICD-10-CM Codes Adjacent To R40.3
R40.2431 …… in the field [EMT or ambulance]
R40.2432 …… at arrival to emergency department
R40.2433 …… at hospital admission
R40.2434 …… 24 hours or more after hospital admission
R40.244 Other coma, without documented Glasgow coma scale score, or with partial score reported
R40.2440 …… unspecified time
R40.2441 …… in the field [EMT or ambulance]
R40.2442 …… at arrival to emergency department
R40.2443 …… at hospital admission
R40.2444 …… 24 hours or more after hospital admission
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

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.