Personal history of other endocrine, nutritional and metabolic disease. Z86.39 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Encephalopathy (acute) G93.40 ICD-10-CM Diagnosis Code G93.40. Encephalopathy, unspecified 2016 2017 2018 2019 Billable/Specific Code. acute necrotizing hemorrhagic G04.30 ICD-10-CM Diagnosis Code G04.30. Acute necrotizing hemorrhagic encephalopathy, unspecified 2016 2017 2018 2019 Billable/Specific Code.
2016 2017 2018 2019 Billable/Specific Code. G93.40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM G93.40 became effective on October 1, 2018. This is the American ICD-10-CM version of G93.40 - other international versions of ICD-10 G93.40 may differ.
Encephalopathy, unspecified. A functional and/or structural disorder of the brain caused by diseases (e.g. Liver disease, kidney disease), medications, chemicals, and injuries. Degenerative diseases of the brain.
ICD-10-CM Code for Encephalopathy, unspecified G93. 40.
Acute toxic-metabolic encephalopathy (TME), which encompasses delirium and the acute confusional state, is an acute condition of global cerebral dysfunction in the absence of primary structural brain disease [1].
ICD-10 code G93. 41 for Metabolic encephalopathy is a medical classification as listed by WHO under the range - Diseases of the nervous system .
Whenever “metabolic encephalopathy” is documented, code G93. 41, Metabolic encephalopathy, should be assigned.
Hepatic encephalopathy: This happens if liver disease causes toxins to build up in a person's blood. Toxic metabolic encephalopathy: This occurs when toxic chemicals, or a chemical imbalance caused by an infection, affects brain function.
There are two major types of metabolic encephalopathies, namely those due to lack of glucose, oxygen or metabolic cofactors (which are usually vitamin-derived) and those due to peripheral organ dysfunction (Table 38-1).
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.
G92. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
10. Therefore, G92 Toxic encephalopathy is the correct code to report for the diagnosis “toxic metabolic encephalopathy” even though the term “metabolic” is not in the description for code G92.
The admission is five days long and the final diagnosis is encephalopathy due to polypharmacy with a metabolic component due to UTI. If toxic encephalopathy (encephalopathy due to drug) is sequenced as the principal diagnosis, metabolic encephalopathy as a secondary diagnosis will act as an MCC.
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.
According to 2020 Centers for Medicare and Medicaid Services definitions,2 toxic encephalopathy (G92), metabolic encephalopathy (G93. 41) and coma (R40) are designated as “major complication or comorbidity” (MCC), whereas unspecified encephalopathy (G93. 40) is designated as “complication or comorbidity” (CC).