Encephalopathy using the GCS - Brundage Group



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

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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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