Coma scale, eyes open, to pain, unspecified time

This code indicates a specific finding on the Glasgow Coma Scale (GCS) where the patient opens their eyes only in response to a painful stimulus. It reflects a moderate level of impaired consciousness, suggesting a significant neurological insult or dysfunction. This GCS component assesses the patient's arousal and responsiveness to external stimuli.

Use this code when documentation explicitly states "eyes open to pain" as part of a GCS assessment, without specifying the exact time of the assessment. This is typically seen in emergency department settings, intensive care units, or during initial neurological evaluations following trauma or acute medical events. The physician's note or nursing assessment should clearly document this GCS component.

• Do not use this code if the patient's eye opening response is to speech, spontaneously, or if no response is observed.
• Always look for documentation of the full GCS score (eye, verbal, motor) when available, as more specific codes exist.
• This code should be sequenced as a secondary diagnosis, following the primary condition causing the altered mental status.