Other coma, without Glasgow, or w/part score, admit

This code signifies a patient presenting with a state of profound unconsciousness, not otherwise specified, where a complete Glasgow Coma Scale (GCS) score was either not recorded or only partially documented upon their arrival at the hospital. It indicates a significant alteration in mental status without the full neurological assessment typically used to quantify consciousness levels.

Use this code for patients admitted with a diagnosis of coma when the medical record explicitly states that a GCS score was not performed or only a partial score was obtained at the time of hospital admission. This often occurs in emergent situations where immediate life-saving interventions take precedence over a full GCS assessment.

• Do not use if a complete GCS score is documented, even if the score indicates severe coma.
• Ensure documentation clearly states "without documented GCS" or "partial GCS" at admission.
• This code is for the initial hospital admission status; subsequent GCS scores would not negate its use if the initial admission documentation supports it.