2024 ICD-10 guideline changes:
“Do not report codes for unspecified coma, individual or total Glasgow coma scale scores for a patient with a medically induced coma or a sedated patient.
The Glasgow Coma Scale (GCS) is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients. The scale assesses patients according to three aspects of responsiveness: eye-opening, motor, and verbal responses.
- Under section I.C.18.e. Coma, the following is added to the guidelines:
“Do not report codes for unspecified coma, individual or total Glasgow coma scale scores for a patient with a medically induced coma or a sedated patient.
- Coma Scale
- The coma scale codes (R40.21- to R40.24-) can be used in conjunction with traumatic brain injury codes. These codes cannot be used with code R40.2A, Nontraumatic coma due to underlying condition. They are primarily for use by trauma registries, but they may be used in any setting where this information is collected. The coma scale codes should be sequenced after the diagnosis code(s).”
The Glasgow Coma Scale (GCS) is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients. The scale assesses patients according to three aspects of responsiveness: eye-opening, motor, and verbal responses.
- What is the Glasgow Coma Scale?
- Glasgow Coma Scale Scoring
- Severity of Injury
- ICD-10-CM Coding and Guidelines
- Coding Scenario
- Additional Information
- Conclusion
Glasgow Coma Scale Coding in ICD-10-CM
Learn about Glasgow Coma Scale coding in ICD-10-CM and the guidelines medical coders need to know regarding traumatic brain injury (FY 2022).
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