{"code":"R40.4","type":"code","title":"Transient alteration of awareness","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["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)"],"excludes2":["symptoms and signs constituting part of a pattern of mental disorder (F01-F99)"],"isBillable":true,"sibling_codes":["R40","R40.0","R40.1","R40.2","R40.20","R40.21","R40.211","R40.2110","R40.2111","R40.2112","R40.2113","R40.2114","R40.212","R40.2120","R40.2121","R40.2122","R40.2123","R40.2124","R40.213","R40.2130","R40.2131","R40.2132","R40.2133","R40.2134","R40.214","R40.2140","R40.2141","R40.2142","R40.2143","R40.2144","R40.22","R40.221","R40.2210","R40.2211","R40.2212","R40.2213","R40.2214","R40.222","R40.2220","R40.2221","R40.2222","R40.2223","R40.2224","R40.223","R40.2230","R40.2231","R40.2232","R40.2233","R40.2234","R40.224","R40.2240","R40.2241","R40.2242","R40.2243","R40.2244","R40.225","R40.2250","R40.2251","R40.2252","R40.2253","R40.2254","R40.23","R40.231","R40.2310","R40.2311","R40.2312","R40.2313","R40.2314","R40.232","R40.2320","R40.2321","R40.2322","R40.2323","R40.2324","R40.233","R40.2330","R40.2331","R40.2332","R40.2333","R40.2334","R40.234","R40.2340","R40.2341","R40.2342","R40.2343","R40.2344","R40.235","R40.2350","R40.2351","R40.2352","R40.2353","R40.2354","R40.236","R40.2360","R40.2361","R40.2362","R40.2363","R40.2364","R40.24","R40.241"],"inclusionTerms":[],"sibling_titles":{"code":"R40.241","title":"Glasgow coma scale score 13-15","isBillable":false},"useAdditionalCode":[],"clinicalDefinition":"Transient alteration of awareness is a billable ICD-10-CM diagnosis code (R40.4). Excludes1 (not coded here): 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). Excludes2 (not included here): symptoms and signs constituting part of a pattern of mental disorder (F01-F99).","officialDefinition":"Transient alteration of awareness is a billable ICD-10-CM diagnosis code (R40.4). Excludes1 (not coded here): 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). Excludes2 (not included here): symptoms and signs constituting part of a pattern of mental disorder (F01-F99).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}