Whenever “metabolic encephalopathy” is documented, code G93. 41, Metabolic encephalopathy, should be assigned.
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].
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.
If you look for metabolic encephalopathy, it has the code G93. 41 with the subcategories of drug induced and toxic, both with G92 codes. On the other hand, it can also be looked at as yes, you can code both. Again, from the Official Guidelines, code G93.
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).
Encephalopathy is not considered inherent in acute cerebrovascular accident/stroke and should be reported as an additional diagnosis when documented and supported. Encephalopathy due to sepsis/septic should be reported as metabolic (see ICD-10-CM Index)
Background: Toxic metabolic encephalopathy (TME) has been reported in 7-31% of hospitalized patients with coronavirus disease 2019 (COVID-19); however, some reports include sedation-related delirium and few data exist on the etiology of TME.
Young children, individuals older than 65 years, and those with pre‐existing dementia or brain injury are particularly susceptible to toxic‐metabolic encephalopathy.
Toxic encephalopathy describes acute mental status alteration due to medications, illicit drugs, or toxic chemicals. Metabolic encephalopathy is caused by any of a large number of metabolic disturbances. Toxic-metabolic encephalopathy describes a combination of toxic and metabolic factors.
Delirium is considered the most common symptom of metabolic encephalopathy. It is characterized by confused thinking and disrupted attention usually accompanied by disordered speech and hallucinations. Dementia (loss of memory)