Glasgow coma scale score 13-15, in the field

This code indicates a patient's neurological status, specifically a Glasgow Coma Scale (GCS) score between 13 and 15, assessed by emergency medical personnel prior to hospital arrival. A GCS of 13-15 signifies a mild brain injury or a patient who is alert and oriented, with minimal to no neurological impairment.

Assign this code when documentation from emergency medical services (EMS), such as an ambulance run sheet or EMT report, clearly states a GCS score of 13, 14, or 15 upon initial assessment in the field. This is typically used for patients transported to an emergency department following an injury or medical event where neurological status is a concern.

• Always confirm the GCS score was documented by "in the field" personnel (e.g., EMT, paramedic).
• Do not use this code if the GCS score was assessed upon arrival at the hospital or by hospital staff.
• This code is often a secondary diagnosis, accompanying codes for the underlying injury or condition.