R40.243
Glasgow coma scale score 3-8
Clinical Classification Guidelines
Medical Intelligence & Overview
The Glasgow Coma Scale (GCS) is a tool used by healthcare professionals to assess a person’s level of consciousness after a brain injury. An GCS score between 3 and 8 indicates a severe impairment of consciousness, often considered a coma. This evaluation helps guide treatment decisions and monitor the patient’s neurological status over time.
Causes & Symptoms
Clinical Causes: Traumatic brain injuries resulting from falls, vehicle accidents, or violence Strokes or cerebrovascular accidents Brain tumors or mass lesions Infections such as meningitis or encephalitis Lack of oxygen to the brain (hypoxia) Metabolic disturbances like hypoglycemia or hepatic coma Intoxication or poisoning with drugs or alcohol
Key Symptoms: Little or no response to stimuli Inability to open eyes voluntarily Inconsistent or no verbal responses Altered mechanical reflexes Loss of basic motor responses Fluctuating levels of consciousness Poor pupillary response to light Absence of purposeful movement
Diagnostic & Treatment
Diagnosis Path: Diagnosis is primarily based on clinical assessment using the Glasgow Coma Scale, which evaluates three aspects:
Treatment Protocols: Management involves stabilizing the patient, addressing the underlying cause of the brain injury, and supportive care to prevent further neurological damage. Treatment strategies include:
Clinical Advice & FAQs
Billing Guidance
Is R40.243 a billable ICD-10 code?
Yes, R40.243 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report R40.243?
Clinical documentation must specify the nature of Glasgow coma scale score 3-8 and any associated comorbidities for accurate reporting.
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