Medically Induced Coma's

Beth.Khayyat@kadlecmed.orgBeth.Khayyat@kadlecmed.org
in Clinical & Coding

Does anyone have guidance concerning how to code medically induced comas, sedation for severe alcohol withdrawal?

If the patient is sedated for agitation and ventilated, would the Glasgow coma scale be able to be coded with it's three different codes, as each of these coded separately have a much greater value that just coding the total score.

The type of patient I am referring to could be on a Precedex drip and ventilated.

 

Beth Khayyat RN BSN CCM

Clinical Documentation Specialist

Kadlec Regional Medical Center

Richland , WA 99352

Office ph 509-946-4611 ext 4885

Cell ph 509-430-8186

Beth.khayyat@kedlecmed.org

Description Description Hope is being able to see that there is light despite all of the darkness - Desmond Tutu

Comments

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org

    I do not believe we should code as a 'disorder' a coma this is use a part of a treatment protocol.  Coding is designed to report 'disease', and an induced Coma is not a disease, rather it is the desired outcome for some patients. 


    Paul Evans, RHIA, CCDS

  • katysuegood@gmail.comkatysuegood@gmail.com
    I agree with Paul on this one. If we induce a coma (or resp 'failure'), we can't code it....
  • jackietouch@aol.comjackietouch@aol.com
    Same for us..we do not capture induced coma. We also do not capture the GCS scores on patients with induced comas.
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