Encephalopathy using the GCS - Brundage Group
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Encephalopathy using the GCS
Encephalopathy Definition: Global cerebral dysfunction in the absence of structural brain disease*
Types of Encephalopathy include:
Septic Encephalopathy
Metabolic Encephalopathy
Toxic Encephalopathy
Hypertensive Encephalopathy
Hepatic Encephalopathy with/without
Anoxic Encephalopathy
coma
Hypoglycemic Encephalopathy
Traumatic Encephalopathy
AMS caused by a medical diagnosis is encephalopathy.
Consider adding GCS scores to your documentation Be sure to document the individual GCS scores as there are corresponding ICD-10 codes for the individual scores which demonstrate a high level of illness (when appropriate) There are ICD-10 codes for the total score, however they do not show the same level of illness on paper as the individual scores when the individual scores are abnormal Please note that EMT and/or nursing documentation of the GCS is acceptable for coding per Coding Clinic
*Chen, R, Young, GB. Metabolic Encephalopathies. In: Bolton, CF, Young, GB, (Eds), Bailliere's Clinical Neurology, Bailliere Tindall, London 1996. p.577.
All materials contained in this document are protected and the property of Brundage Medical Group, LLC, d/b/a Brundage Group, and may not be reproduced, republished, distributed, transmitted, displayed, broadcast or otherwise exploited in any manner without the express prior written permission of Brundage Group. You may use this material for your personal or non-commercial use only, without altering or removing any notice from such material. Brundage Group's names and
logos and all other intellectual property are the sole property of Brundage Group and cannot be used without its express prior written permission.
Glasgow Coma Scale
Behavior Eye Opening
Best Verbal Response
Best Motor Response
Response Spontaneously
To Speech To Pain
No Response Oriented x3
Confused Inappropriate words Incomprehensible words
No Response Obeys Commands
Moves to pain Withdraws from pain Abnormal flexion (decorticate) Abnormal extension (decerebrate)
No Response
Score 4 3 2 1 5
4 3 2 1 6
5 4 3 2 1
*Chen, R, Young, GB. Metabolic Encephalopathies. In: Bolton, CF, Young, GB, (Eds), Bailliere's Clinical Neurology, Bailliere Tindall, London 1996. p.577.
All materials contained in this document are protected and the property of Brundage Medical Group, LLC, d/b/a Brundage Group, and may not be reproduced, republished, distributed, transmitted, displayed, broadcast or otherwise exploited in any manner without the express prior written permission of Brundage Group. You may use this material for your personal or non-commercial use only, without altering or removing any notice from such material. Brundage Group's names and
logos and all other intellectual property are the sole property of Brundage Group and cannot be used without its express prior written permission.
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