Coma scale, best motor response, localizes pain, unsp time

This code indicates a specific finding on the Glasgow Coma Scale (GCS) related to a patient's motor response. Specifically, it signifies that the patient withdraws or attempts to remove a noxious stimulus, demonstrating purposeful movement towards the source of pain. This response suggests a moderate level of neurological function, above decorticate or decerebrate posturing.

Use this code when documentation explicitly states a GCS motor score of 5, or describes the patient's best motor response as "localizes pain" in the context of an altered mental status. This is typically observed in patients with head injuries, strokes, or other conditions affecting brain function. The "unspecified time" component means the exact timing of this observation is not documented or relevant for this specific code.

• Do not use this code if a more specific GCS motor response (e.g., obeys commands, withdraws from pain) is documented.
• Always look for the complete GCS score (eye, verbal, motor) when available, as individual components may be coded separately or as part of a total score.
• Ensure documentation clearly distinguishes "localizes pain" from "withdraws from pain" (GCS motor score 4), as these are distinct responses.