Locked-in state
ICD-10 G83.5 is a billable code used to indicate a diagnosis of locked-in state.
Locked-in state is a neurological condition characterized by complete paralysis of voluntary muscles in all parts of the body except for vertical eye movements and blinking. This condition typically results from damage to the brainstem, often due to stroke, traumatic brain injury, or diseases such as amyotrophic lateral sclerosis (ALS). Patients with locked-in syndrome are fully conscious and aware of their surroundings but are unable to speak or move, leading to significant communication challenges. The condition can be confused with other forms of paralysis, such as quadriplegia or cerebral palsy, but it is distinct in that cognitive function remains intact. Management of locked-in state often involves rehabilitation therapies aimed at improving communication and mobility, as well as supportive care to address the patient's needs. Understanding the nuances of this condition is crucial for accurate coding and appropriate treatment planning.
Comprehensive neurological evaluations, including cognitive assessments and communication abilities.
Patients presenting with sudden onset of paralysis, often following a stroke or traumatic injury.
Neurologists must ensure that all aspects of the patient's condition are documented, including any co-morbidities.
Detailed therapy notes outlining the patient's progress and communication strategies.
Patients undergoing rehabilitation to improve communication and mobility post-injury.
Rehabilitation specialists should document the effectiveness of interventions and any changes in the patient's condition.
Used for patients with locked-in state requiring speech therapy.
Document the patient's communication abilities and therapy goals.
Speech therapists should note the methods used for communication.
Locked-in state is primarily caused by damage to the brainstem, often due to stroke, traumatic brain injury, or diseases like ALS.
Patients can often communicate through eye movements or blinking, which should be documented in their care plan.
