- #Glasgow coma scale score sheet manual
- #Glasgow coma scale score sheet full
- #Glasgow coma scale score sheet code
#Glasgow coma scale score sheet code
“If multiple coma scores are captured within the first 24 hours after hospital admission, assign only the code for the score at the time of admission. “Assign code R40.24-, Glasgow coma scale, total score, when only the total score is documented in the medical record and not the individual score(s).” If desired, a facility may choose to capture multiple coma scale scores.” This may be a score from the emergency medicine technician (EMT) or in the emergency department. “At a minimum, report the initial score documented on presentation at your facility. The 7th character should match for all three codes.” The 7th character indicates when the scale was recorded. “These codes, one from each subcategory, are needed to complete the scale. The coma scale codes should be sequenced after the diagnosis code(s).” These codes are primarily for use by trauma registries, but they may be used in any setting where this information is collected. “The coma scale codes (R40.21- to R40.24-) can be used in conjunction with traumatic brain injury codes. Scale scores for a patient with a medically induced coma or a sedated patient.” Do not report codes for unspecified coma, individual or total Glasgow coma Coding GuidelinesĪccording to the ICD-10-CM Official Guidelines for Coding and Reporting (FY 2022), ”Code R40.20, Unspecified coma, may be assigned in conjunction with codes for any medical condition. For example, if the documentation states “Coma scale, eye open, to pain, at arrival to emergency department,” assign R40.2122.
Therefore, be sure to add the appropriate 7th character to each of the above-listed codes. The appropriate 7th character should be added to subcategory R40.2- to indicate:Ĥ – 24 hours or more after hospital admission The 6th character indicates the level of consciousness. R40.244, Other coma, without documented Glasgow coma scale score, or with partial score reported.R40.241, Glasgow coma scale score 13-15.R40.236, Coma scale, best motor response, obeys commands.R40.235, Coma scale, best motor response, localizes pain.R40.234, Coma scale, best motor response, flexion withdrawal.R40.233, Coma scale, best motor response, abnormal.R40.232, Coma scale, best motor response, extension.
#Glasgow coma scale score sheet manual
Coma Scale CodesĬoma scale codes (R40.2-) are located in Chapter 18 of the ICD-10-CM coding manual under Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46). Medical coders should then capture that information and assign the appropriate ICD-10-CM codes based on the coding guidelines. When a patient is in a coma, trained medical staff should use the GCS and document the scores. For example, a score of 10 might be indicated as GCS 10 = E3 V4 M3. To determine the final score, the values from each category should be added together and may be indicated as the sum of the scores in addition to the individual elements.
#Glasgow coma scale score sheet full
The total Glasgow Coma Score has values between 3, indicating deep unconsciousness, and 15, indicating full consciousness. These components are scored by levels, starting with 1 for no response, up to normal values of 4 (eye-opening response), 5 (verbal response), and 6 (motor response). Glasgow Coma Scale Coding in ICD-10-CM begins once the medically trained staff has documented the scores.Īccording to the National Center for Biotechnology Information (NCBI), the Glasgow Coma Scale measures the following functions: The test is simple, reliable, and is a good indicator of the patient’s outcome. It is based on a 15-point scale and is used by trained staff at the site of an injury, such as that of a vehicle crash or contact sports injury. The GCS is also used in the emergency department and intensive care units.Īccording to Brainline, the GCS is used to measure the severity of an acute brain injury. The Glasgow Coma Scale (GCS) is a scoring system used by medical practitioners to describe the level of consciousness in a person following a traumatic brain injury.