toxic encephalopathy, anoxic encephalopathy) can be coded. 82) is a billable ICD-10 diagnostic code under HIPAA regulations from October 1, 2020, to September 30, 2021.This code is acceptable to insurers when used to describe a marked change in mental health status not attributable to other factors. acute or chronic delirium, dementia, coma) and the underlying cause (e.g. Given that most of the specified altered mental statuses vary with differing types of encephalopathy, I believe that if these three elements of CDI review are answered that both the manifestation (e.g. Linkage of the cause and effect of these two condition.The nature of the encephalopathy: Options include hypertensive, metabolic, anoxic, toxic, hepatic, etc.The nature of the altered mental status: Options include dementia, delirium, psychosis, stupor, coma, etc.A billable code is detailed enough to be used to. Given that R41.82 is a Chapter 18 symptom code, given that the ICD-10-CM Official Guidelines for Coding and Reporting state that “ Signs and symptoms that are associated routinely associated with a disease process should not be assigned as additional codes, unless otherwise instructed by the classification,” and given that an altered mental status is integral to having an encephalopathy, I would only report G93.40.Īfter CDI Effort: CDI specialists need to obtain the specificity of the following: R41.82 is a billable ICD code used to specify a diagnosis of altered mental status, unspecified. ![]() ![]() ![]() R41.82 altered mental status, unspecified.Q: Can we code altered mental status as a manifestation and encephalopathy together?Ī: In answering the question, we must consider what is documented before or after the CDI effort.īefore CDI Effort: If all that is documented is “altered mental status” and “encephalopathy,” I would assign the following two codes:
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