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. Next, see the instruction “Code first, if applicable,” which applies to codes in both ranges listed – T36-T50 and T51-T65.
Metabolic encephalopathy is never caused by a drug (codes T36-T50) or toxic agent (codes T51-T65). “Toxic metabolic encephalopathy” is a combination of toxic and metabolic factors, a result of infections, the presence of toxins, or organ failure.
“Metabolic encephalopathy” can have many etiologies, commonly including an electrolyte imbalance (dehydration) or infection (urinary tract infection, sepsis). “Septic encephalopathy” is synonymous with “metabolic encephalopathy.” Metabolic encephalopathy is never caused by a drug (codes T36-T50) or toxic agent (codes T51-T65).
A: When considering metabolic encephalopathy, you have to be able to demonstrate within the record what the nature of the metabolic disruption is, and it would have to be more just the existence of a UTI.
If you search for toxic encephalopathy, there is the subcategory for metabolic encephalopathy, and both have the code G92. If you look for metabolic encephalopathy, it has the code G93. 41 with the subcategories of drug induced and toxic, both with G92 codes.
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.
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.
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. When the imbalance affects the brain, it can lead to personality changes.
Acute toxic-metabolic encephalopathy (TME) is a condition of acute global cerebral dysfunction manifested by altered consciousness, behavior changes, and/or seizures in the absence of primary structural brain disease or direct central nervous system (CNS) infection.
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.
“Toxic metabolic encephalopathy” is a combination of toxic and metabolic factors, a result of infections, the presence of toxins, or organ failure.
Abstract. Toxic metabolic encephalopathies (TMEs) present as an acute derangement in consciousness, cognition and behavior, and can be brought about by various triggers, including endocrine and metabolic disturbances, exogenous toxins, pain and infection.
The present case focuses on urinary tract infection related to neurogenic bladder as a potential cause of hyperammonemia, which nevertheless can lead to metabolic encephalopathy. It is important to underline that bacteria usually considered urease-negative may be related to ammonium production within the urinary tract.
Metabolic encephalopathy is usually diagnosed through the blood, urine, and spinal fluid samples. Blood tests may also show if there is an infection or if there are drugs or toxins in the blood. Computed tomography (CT) or magnetic resonance imaging (MRI) may be used to rule out any brain-related problems.
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)
349.82 is a legacy non-billable code used to specify a medical diagnosis of toxic encephalopathy. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
References found for the code 349.82 in the Index of Diseases and Injuries:
The brain, spinal cord, and nerves make up the nervous system. Together they control all the workings of the body. When something goes wrong with a part of your nervous system, you can have trouble moving, speaking, swallowing, breathing, or learning. You can also have problems with your memory, senses, or mood.
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.