Encephalopathy, septic or metabolic: Difference between revisions

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== Additional Info ==

=== Excludes: Hepatic Encephalopaty ===

*This does NOT include hepatic encephalopathy, to code that use one of the following (which can be combined with a cause if known and not due to alcohol):

**[[Liver failure w/wo hepatic encephalopathy, acute or subacute NOS]]

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**[[Liver failure due to toxin/drug NOS, w/wo hepatic encephalopathy]]

**[[Liver failure, alcoholic, w/wo hepatic encephalopathy]]

~~{{DA| These instructions imply~~ that ~~anytime we have someone come in with altered mentation due to hepatic encephalopathy~~, ~~that we need to code them~~ as ~~one of the liver failures. This leads to a lot of patients being labelled as liver failure. I'm not sure if I am using this code correctly~~

*AG REPLY -- Of course not every liver patient with encephalopathy has HEPATIC ENCEPHALOPATHY. They could alternatively have an enceph due to sepsis or drugs etc. BUT IF the team believes it IS H.E., then it should be coded as such and indeed this patient DOES have liver failure. H.E. only occurs in patients with liver failure.

* There was some concern that using those codes would overstate liver failure, but as concerned by Allan: "Of course not every liver patient with encephalopathy has HEPATIC ENCEPHALOPATHY. They could alternatively have an enceph due to sepsis or drugs etc. BUT IF the team believes it IS H.E., then it should be coded as such and indeed this patient DOES have liver failure. H.E. only occurs in patients with liver failure."

}}

@@ Line 12: / Line 12: @@
 == Additional Info ==
+=== Excludes: Hepatic Encephalopaty ===
 *This does NOT include hepatic encephalopathy, to code that use one of the following (which can be combined with a cause if known and not due to alcohol):
 **[[Liver failure w/wo hepatic encephalopathy, acute or subacute NOS]]
@@ Line 18: / Line 19: @@
 **[[Liver failure due to toxin/drug NOS, w/wo hepatic encephalopathy]]
 **[[Liver failure, alcoholic, w/wo hepatic encephalopathy]]
-{{DA| These instructions imply that anytime we have someone come in with altered mentation due to hepatic encephalopathy, that we need to code them as one of the liver failures. This leads to a lot of patients being labelled as liver failure. I'm not sure if I am using this code correctly
-*AG REPLY -- Of course not every liver patient with encephalopathy has HEPATIC ENCEPHALOPATHY.  They could alternatively have an enceph due to sepsis or drugs etc.  BUT IF the team believes it IS H.E., then it should be coded as such and indeed this patient DOES have liver failure.  H.E. only occurs in patients with liver failure.
+* There was some concern that using those codes would overstate liver failure, but as concerned by Allan: "Of course not every liver patient with encephalopathy has HEPATIC ENCEPHALOPATHY.  They could alternatively have an enceph due to sepsis or drugs etc.  BUT IF the team believes it IS H.E., then it should be coded as such and indeed this patient DOES have liver failure.  H.E. only occurs in patients with liver failure."
-}}
 {{Template:ICD10 Guideline Altered mental status}}