![]() This is only if the type of encephalopathy has not be specified (toxic, metabolic, hypertensive, etc.). Encephalopathy due to cerebral infarction would be coded to G93.49 since there is no specific entry under encephalopathy for due to cerebral infarction. Other encephalopathy is reported when the documentation supports that the encephalopathy is secondary to a particular cause/disease but there is no entry in the ICD-10-CM Alphabetic Index for that cause/disease. Most times, the cause is known but not documented by the physician for coders and no further specific code can be assigned. Indexed in ICD-10-CM to G93.40 is caused by either a direct injury to the brain or an illness. Treatment is geared towards decreasing blood pressure. Indexed in ICD-10-CM to I67.4 is caused by extreme high blood pressure levels. Addition of code G92.8 would be reported. Toxic encephalopathy is not inherent to hepatic encephalopathy. If a patient has documented both toxic metabolic encephalopathy and hepatic encephalopathy, both would be coded to fully report the patient’s condition. This is commonly seen in patients with cirrhosis, acute liver failure, chronic liver disease, and hepatitis as well as other diseases. This is a possibly reversible condition with the appropriate treatment and compliance with the treatment. For a coder to report that this is with coma, the MD would need to document as such. The diagnosis of hepatic encephalopathy does not mean “coma” is always present. When the liver is diseased or in failure it is not able to remove toxin from the blood and they accumulate in the brain. As of 10/1/22, a new code was created, K76.82, Hepatic encephalopathy and it will not be a CC or MCC. Indexed in ICD-10-CM to K72.90 (unless specified with coma) until 9/30/22, is caused by liver failure/disease. This can also occur in the fetus if the blood supply from the placenta is compromised. This can be caused by cardiac arrest, seizures or just when lack of breathing adequately exists such as in patients with lung disease. This type is oftentimes permanent and irreversible depending on how long the brain cells lack oxygen. Indexed in ICD-10-CM to G93.1 is caused by brain damage due to lack of oxygen and referred to as hypoxic encephalopathy. Treatment is geared towards the cause or the symptoms and is most often reversible once the metabolic issue is corrected. An electrolyte imbalance can be caused by many conditions including, dehydration, trauma, renal failure, and infection. Indexed in ICD-10-CM to G93.41 (there are also entries for drug induced and toxic) is caused by lack of glucose, metabolic agent, or electrolyte imbalance. This type of encephalopathy is most often irreversible. Treatment is geared towards the cause or the symptoms. Indexed in ICD-10-CM to G92 is caused by exposure to neurotoxic substance, poisoning or OD and can be caused by everyday products that we use. This is only a short list of entries under encephalopathy in the ICD-10-CM Alphabetic Index. The most common types we see are toxic encephalopathy, metabolic encephalopathy, anoxic encephalopathy, hepatic encephalopathy, hypertensive encephalopathy, acute encephalopathy and just documentation of encephalopathy. ![]() ![]() There are many different types and causes of encephalopathy and at times it is difficult to know if it should be coded and if so, what code should be reported. The primary symptom that is seen in the healthcare record is altered mental status. ![]() It is a general term and means brain disease, brain damage or malfunction. ICD-10 Mental Health Diagnosis Codes Listĭownload our ICD-10 mental health diagnosis code list, skip to Commonly Used Diagnosis Codes, Z-Codes for Mental Health Providers, or look up legacy ICD-9 mental health diagnosis codes.Encephalopathy is a diagnosis that coders see a lot these days. ![]()
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