Coma scale, eyes open, to pain, 24+hrs

This code indicates a patient's Glasgow Coma Scale (GCS) eye-opening component score of 2, specifically "eyes open to pain," which has been observed for 24 hours or more following their admission to the hospital. It signifies a persistent, reduced level of consciousness where painful stimuli are required to elicit eye opening.

Apply this code when documentation clearly states a GCS eye-opening score of 2 (eyes open to pain) that has persisted for at least 24 hours after the patient's hospital admission. This is typically used in cases of traumatic brain injury, stroke, or other conditions causing altered mental status requiring prolonged monitoring.

• Ensure the documentation explicitly states "eyes open to pain" and specifies the duration as "24 hours or more after hospital admission."
• Do not use this code if the GCS eye-opening score is different or if the duration is less than 24 hours.
• This code should be sequenced after the primary diagnosis indicating the underlying cause of the altered mental status.