Coma scale, eyes open, never, 24+hrs

This code indicates a patient who has been admitted to the hospital for 24 hours or more and consistently exhibits no eye-opening response to any stimuli, as assessed by the Glasgow Coma Scale (GCS). It signifies a severe level of impaired consciousness where the patient's eyes remain closed.

This code is used when GCS documentation explicitly states "eyes open: never" or a GCS eye score of 1, and this finding persists for at least 24 hours after the patient's hospital admission. It is typically applied in cases of severe neurological injury, anoxic brain injury, or other conditions leading to profound coma.

• Ensure documentation clearly specifies "never" for eye opening and the duration of 24 hours or more post-admission.
• Do not use this code if the patient's eyes open even briefly or in response to pain.
• Always sequence this code after the underlying condition causing the coma.