Coma scale, best verbal response, oriented, EMR

This code indicates a Glasgow Coma Scale (GCS) verbal response score of 5, meaning the patient is oriented and converses appropriately. It specifically documents this finding upon the patient's arrival at the emergency department. This score reflects the highest level of verbal neurological function.

Apply this code when documentation clearly states the patient's GCS verbal component was "oriented" or "5" at the time of ED admission. This is typically used for patients presenting with altered mental status, head injury, or other neurological concerns.

• Ensure the documentation specifies "at arrival to emergency department" for accurate code assignment.
• Do not use this code if the GCS verbal response changes after initial ED assessment.
• Always code all three GCS components (eye opening, verbal response, motor response) when documented.