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). Do not report codes for individual or total Glasgow coma scale scores for a patient with a medically induced coma or a sedated patient.
Patients with head injury with low Glasgow Coma Scale (GCS) scores on hospital admission have a poor prognosis. A GCS score of 3 is the lowest possible score and is associated with an extremely high mortality rate, with some researchers suggesting that there is no chance of survival.
A score of 13 or higher correlates with mild brain injury, a score of 9 to 12 correlates with moderate injury, and a score of 8 or less represents severe brain injury. The Pediatric Glasgow Coma Scale (PGCS) was validated in children 2 years of age or younger.
The Glasgow Coma Scale The GCS consists of three dimensions: motor responsiveness, verbal performance, and eye opening (Table 23.1).
A person in a deep coma has a Glasgow Coma Score of 3 (there is no lower score). The Rancho Level of Cognitive Functioning Scale (LCFS) is a scale used to assess cognitive functioning in people with brain injury.
Contrary to common belief, The Glasgow Coma Scale (GCS) is NEVER out-of-stock and the lowest score possible is 3. An intubated patient still gets 1 point for verbal meaning they score 3T…there is nothing like a 2T score (at least not in human beings)
GCS greater than or equal to 13 consistent with minor injury. ▪ Modifiers are used in the presence of severe eye/facial swelling, spinal cord injury, or oral intubation to indicate that that portion of the exam cannot be performed (ie, 11T indicates a normal eye and motor exam in an intubated patient).
Certain scores on the Glasgow Coma Scale have significance. Patients with a Glasgow Coma Scale score of 7 or less are considered comatose. Patients with a Glasgow Coma Scale score of 8 or less are considered to have suffered a severe head injury.
Types of TBIsConcussions.Contusions.Penetrating injuries.Anoxic brain injuries.
Severe: GCS 8 or less. Moderate: GCS 9-12. Mild: GCS 13-15.
Glasgow Coma Scale or GCS is a scale that is used to measure the consciousness of a person. It was invented in 1974 by Graham Teasdale and Bryan J. Jennett, professors of neurosurgery at the University of Glasgow.
In medicine, coma (from the Greek κῶμα koma, meaning "deep sleep") is a state of unconsciousness in which a person: cannot be awakened; fails to respond normally to painful stimuli, light, or sound; lacks a normal wake-sleep cycle; and does not initiate voluntary actions. A person in a state of coma is described as being comatose.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code R40.243. Click on any term below to browse the alphabetical index.