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E13 vs R40.2442

E13 (Other specified diabetes mellitus) compared with R40.2442 (Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency department), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. R40.2442 carries an Excludes1 note covering E13: “somnolence, stupor and coma in diabetes (E08-E13)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E13Other specified diabetes mellitusR40.2442Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency department
Billing statusNon-billable header

Report instead: E13.00, E13.01, E13.10, E13.11, E13.21

Billable
ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionOther specified diabetes mellitus is a non-billable ICD-10-CM category code (E13).Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency department is a billable ICD-10-CM diagnosis code (R40.2442).
7th characterThe following appropriate 7th character is to be added to subcategory R40.24-:
Includes
diabetes mellitus due to genetic defects of beta-cell function
diabetes mellitus due to genetic defects in insulin action
postpancreatectomy diabetes mellitus
postprocedural diabetes mellitus
Use additional code
code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
insulin (Z79.4)
Code first
any associated:
fracture of skull (S02.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources