Coma scale, eyes open, never, at hospital admission

This code indicates a patient's Glasgow Coma Scale (GCS) score for the eye-opening component, specifically that the patient's eyes never opened in response to any stimulus upon admission to the hospital. This signifies the lowest possible score (1) for the eye-opening criterion of the GCS, reflecting a severe level of impaired consciousness.

Use this code when documentation clearly states the patient's eyes remained closed, with no spontaneous opening, opening to speech, or opening to pain, at the time of hospital admission. This is typically found in emergency department notes, admission assessments, or neurological evaluations where a GCS score is recorded.

• Always assign the most specific GCS code available based on the documentation for each component (eyes, verbal, motor).
• Ensure the "at hospital admission" specificity is clearly documented; otherwise, a less specific code may be appropriate.
• Do not code GCS components if the patient is intubated and sedated, as this would not reflect their true neurological status.