What Are The Causes Of Uremic Encephalopathy?
Encephalopathy is a general term and means brain disease, brain damage or malfunction. Physicians often use encephalopathy and altered mental status interchangeably. When coders see this documentation in the healthcare records, they typically need to query the physician for clarification of the diagnosis.
What to know about encephalopathy
What are the four stages of hepatic encephalopathy? Stage 1: mild symptoms, such as loss of sleep and shortened attention span. Stage 2: moderate symptoms, such as memory loss and slurred speech. Stage 3: severe symptoms, including personality changes, confusion, and extreme lethargy. Stage 4: a loss of consciousness and coma.
Whenever “metabolic encephalopathy” is documented, code G93. 41, Metabolic encephalopathy, should be assigned.
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.
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].
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.
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)
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 ...
40: Encephalopathy, unspecified....2022 ICD-10-CM Diagnosis Code G93. 40G93. 40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.The 2022 edition of ICD-10-CM G93. 40 became effective on October 1, 2021.This is the American ICD-10-CM version of G93.
Here is one example: Say encephalopathy due to COVID-19 is documented by the clinician, and the coder captures ICD-10-CM code G93. 40, Encephalopathy, unspecified.
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.
The metabolic encephalopathies comprise a series of neurological disorders not caused by primary structural abnormalities; rather, they result from systemic illness, such as diabetes, liver disease, renal failure and heart failure (Table 38-1).
The dementias are the main differential diagnosis. The hallmarks of metabolic encephalopathy are reduced awareness and fluctuating attention with defects in orientatioN, interpretation, memory, retention, and recall and with hesitant and clumsy motor performance.