icd 10 code for drug-induced encephalopathy

Toxic encephalopathy. G92 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM G92 became effective on October 1, 2018.

Full Answer

What is the ICD 10 code for psychoactive drug use?

Other psychoactive substance use, unspecified with psychoactive substance-induced sleep disorder. F19.982 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM F19.982 became effective on October 1, 2019.

Should toxic encephalopathy be coded as a secondary diagnosis?

As long as there is consistent documentation of toxic encephalopathy and the substance/s is/are known, G92 should be coded as a secondary diagnosis. Any other thoughts on this? I have had these denials as well. Our auditors state that the condition is delirium.

What does encephalopathy mean in medical coding?

A diagnosis that medical coding companies come across quite often, the term encephalopathy broadly refers to brain disease, damage, or malfunction. The National Institute of Neurological Disorders and Stroke defines encephalopathy as follows: “Encephalopathy is a term for any diffuse disease of the brain that alters brain function or structure.

What is the ICD 10 code for opiate addiction?

F19.94 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth psychoactive substance use, unsp w mood disorder.

Can encephalopathy be used as principal diagnosis?

When encephalopathy is the principal diagnosis, the UTI can be added as a CC. When the encephalopathy is a principal diagnosis, auditor denials are not the issue; the real concern is with the documentation not supporting it as a reportable condition.

What is the ICD 10 code for encephalopathy?

ICD-10-CM Code for Encephalopathy, unspecified G93. 40.

How do you code toxic encephalopathy?

8 - Other toxic encephalopathy is a sample topic from the ICD-10-CM. To view other topics, please log in or purchase a subscription. ICD-10-CM 2022 Coding Guide™ from Unbound Medicine.

What is DX G92?

2022 ICD-10-CM Diagnosis Code G92: Toxic encephalopathy.

What is encephalopathy unspecified?

A disorder of the brain that can be caused by disease, injury, drugs, or chemicals. A functional and/or structural disorder of the brain caused by diseases (e.g. Liver disease, kidney disease), medications, chemicals, and injuries.

Is encephalopathy acute or chronic?

The National Institute of Neurological Disorders and Stroke (NINDS) has described encephalopathy as a term for “any diffuse disease of the brain that alters brain function or structure” and says the “hallmark of encephalopathy is an altered mental status.” It then proceeds to list a hodge-podge of acute and chronic ...

Is toxic encephalopathy a MCC?

Code G92 Toxic Encephalopathy is a Major Complication and Comorbidity (MCC) code. MCC codes have the potential of affecting MS-DRG assignment and reimbursement.

What is toxic encephalopathy?

The term "toxic encephalopathy" is used to indicate brain dysfunction caused by toxic exposure [4]. Toxic encephalopathy includes a spectrum of symptomatology ranging from subclinical deficits to overt clinical disorders.

Can metabolic and toxic encephalopathy be coded together?

On one side, it can be thought that no, you cannot code both because the subcategories in the Official Guidelines for Coding and Reporting lead you to one code for toxic encephalopathy if there is both toxic and metabolic.

What is the ICD-10 code for hepatic encephalopathy?

572.2 - Hepatic encephalopathy. ICD-10-CM.

What is metabolic encephalopathy?

Metabolic encephalopathy is a problem in the brain. It is caused by a chemical imbalance in the blood. The imbalance is caused by an illness or organs that are not working as well as they should. It is not caused by a head injury.

What is encephalopathy caused by?

The causes of encephalopathy are numerous and varied; they include infections, anoxia, metabolic problems, toxins, drugs, physiologic changes, trauma, and other causes. Encephalopathy is a general term that refers to brain disease, damage, or malfunction. The major symptom of encephalopathy is an altered mental state.

Is dementia a form of encephalopathy?

Encephalopathy is a term that means brain disease, damage, or malfunction. Encephalopathy can present a very broad spectrum of symptoms that range from mild, such as some memory loss or subtle personality changes, to severe, such as dementia, seizures, coma, or death.

Is encephalopathy integral to dementia?

Kennedy says that if a patient's altered mental status (dementia, delirium, or psychosis) can be explained by a named brain disease such as Parkinson's disease or Alzheimer's disease, then the term “encephalopathy” is integral to these diseases unless it is explicitly documented that the altered mental status differs ...

Is encephalopathy inherent to CVA?

The guidance provided from Coding Clinic is that “encephalopathy” secondary to a CVA/stroke is not inherent to a CVA/stroke, and as such it should be coded separately with code G93. 49, Other encephalopathy.

Can you code encephalopathy and delirium?

Acute encephalopathy and delirium are clinically similar, but for coding purposes, very different. Delirium is a low-weighted symptom; encephalopathy is a serious, high-weighted medical condition. Delirium is usually due to an underlying encephalopathy, and clinicians should document as such if clinically present.