This most commonly happens during alcohol withdrawal. People who drink large amounts of alcohol and suddenly stop are at a higher-than-usual risk of seizures. About 5 percent of people detoxing from alcohol abuse will have alcohol withdrawal seizures as part of the process of quitting drinking.
Seizures can be a severe and life-threatening complication of alcohol withdrawal. They occur in approximately 5% of people who undergo alcohol withdrawal. 1 Although having an occasional drink doesn’t normally increase the risk of seizures, people who drink heavily may have an increased risk, especially when they suddenly stop drinking. 2
Your doctor is likely to ask you a number of questions:
Alcohol withdrawal syndrome is a set of symptoms that can occur when an individual reduces or stops alcoholic consumption after long periods of use. Prolonged and excessive use of alcohol leads to tolerance and physical dependence.
F10.23. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code F10.23 is a non-billable code.
Answer: Yes, it is appropriate to assign both codes, if the provider has documented that the patient has both alcohol withdrawal seizures and epilepsy. Assign codes 291.81, Alcohol withdrawal, and 780.39, Other convulsions, for alcoholic withdrawal seizures.
A patient may experience seizures due to alcohol withdrawal, because of the lack of alcohol in the system. This type of seizure can affect anyone who abuses alcohol chronically and suddenly stops; however, people with epilepsy have a higher incidence. You must log in or register to reply here.
Without the benefit of the full episode notes, VICC interprets scenario one as the patient presenting with a problem, and during the episode the underlying condition is identified, in this case alcohol withdrawal. VICC therefore advises to assign F10.3 Mental and behavioural disorders due to use of alcohol, withdrawal state as per ACS 0001 Principal diagnosis, Coding the underlying condition as the principal diagnosis. There may be circumstances where documentation indicates that the seizures meet ACS 0002 Additional diagnoses as important problems in their own right , in which case it would be appropriate to assign additional code R56.8 Other and unspecified convulsions in accordance with dot point f in the Note at the beginning of Chapter 18 Signs and symptoms.#N#In Scenario 2 it is unclear from your query whether the admission is for treatment of the seizures or alcohol withdrawal or both. VICC interprets scenario 2 as meaning patient was admitted for treatment of seizures only, therefore assign seizures as principal diagnosis. As there is a clearly documented relationship to alcohol withdrawal, assign alcohol withdrawal (F10.3) as additional diagnosis in accordance with ACS 0503 Drug, alcohol and tobacco use disorders.
The onset and course of the withdrawal state are time-limited and are related to the type of psychoactive substance and dose being used immediately before cessation or reduction of use. The withdrawal state may be complicated by convulsions.
Scenario 2: The patient presents with known alcoholic withdrawal seizures for treatment.
Alcohol withdrawal syndrome is a set of symptoms that can occur when an individual reduces or stops alcoholic consumption after long periods of use. Prolonged and excessive use of alcohol leads to tolerance and physical dependence. The withdrawal syndrome is largely a hyper-excitable response of the central nervous system due to lack of alcohol.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code F10.231 and a single ICD9 code, 291.0 is an approximate match for comparison and conversion purposes.