Coma scale best verbal response confused conversation in the field EMT or

Coma scale best verbal response confused conversation

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Coma scale, best verbal response, confused conversation, in the field [EMT or ambulance] R40.2361 Coma scale, best motor response, obeys commands, in the field [EMT or ambulance] Explanation: When individual scores for the Glasgow coma scale are documented, one code from each category is needed to complete the scale. The seventh character indicates when the scale was recorded and should match for all three codes. Assign a code from subcategory R40.24- Glasgow coma scale, total score, when only the total and not the individual score(s) is documented.
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Guidelines and Examples Chapter 18. Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified ICD-10-CM 2017 Chapter 18. Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified 472 ICD-10-CM 2017 h. Death NOS Code R99, Ill-defined and unknown cause of mortality, is only for use in the very limited circumstance when a patient who has already died is brought into an emergency department or other healthcare facility and is pronounced dead upon arrival. It does not represent the discharge disposition of death. i. NIHSS stroke scale The NIH stroke scale (NIHSS) codes (R29.7- -) can be used in conjunction with acute stroke codes (I63) to identify the patient's neurological status and the severity of the stroke. The stroke scale codes should be sequenced after the acute stroke diagnosis code(s). At a minimum, report the initial score documented. If desired, a facility may choose to capture multiple stroke scale scores. See Section I.B.14. for information concerning the medical record documentation that may be used for assignment of the NIHSS codes. Systemic inflammatory response syndrome (SIRS) due to acute gallstone pancreatitis K85.10 Biliary acute pancreatitis without necrosis or infection R65.10 Systemic inflammatory response syndrome (SIRS) of noninfectious origin without acute organ dysfunction Explanation: When SIRS is documented with a noninfectious condition without subsequent infection documented, the code for the underlying condition such as pancreatitis should be assigned followed by the appropriate code for SIRS of noninfectious origin, either with or without associated organ dysfunction.
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Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes ICD-10-CM 2017 Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes Guidelines and Examples ICD-10-CM 2017 473 Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes (S00–T88) Chapter Specific Guidelines with Coding Examples The chapter specific guidelines from the ICD-1 0 -CM Official Guidelines for Coding and Reporting have been provided below. Along with these guidelines are coding examples, contained in the shaded boxes, that have been developed to help illustrate the coding and/or sequencing guidance found in these guidelines.
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