Template:ICD10 Guideline Altered mental status: Difference between revisions
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***For example, the terms "altered mental status", "encephalopathy" and "delerium" are often used loosely and interchangably. | ***For example, the terms "altered mental status", "encephalopathy" and "delerium" are often used loosely and interchangably. | ||
*As usual in ICD10, you should use the most specific code available, and only use "waste basket/NOS codes" only when a more specific code is not available. | *As usual in ICD10, you should use the most specific code available, and only use "waste basket/NOS codes" only when a more specific code is not available. | ||
*First, if what you've got is actual coma, then use one of the coma codes, not delerium or encephalopathy | |||
**If the cause is a substance, toxin or DRUG, use [[Encephalopathy, toxic]] | **If the cause is a substance, toxin or DRUG, use [[Encephalopathy, toxic]] | ||
**If the cause is sepsis, use [[Encephalopathy, septic or metabolic]] | **If the cause is sepsis, use [[Encephalopathy, septic or metabolic]] | ||
**If the cause is "metabolic" (except for hepatic encephalopathy), use [[Encephalopathy, septic or metabolic]] -- this includes electrolyte distubances (e.g. hypernatremia, hyponatremia, hypercalcemia), uremic encephalopathy, hypoglycemic, hyperglycemia | |||
**If the cause is hepatic encephalopathy, use one of these: | **If the cause is hepatic encephalopathy, use one of these: | ||
***[[Liver failure w/wo hepatic encephalopathy, acute or subacute NOS]] | ***[[Liver failure w/wo hepatic encephalopathy, acute or subacute NOS]] | ||
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***[[Liver failure w/wo hepatic encephalopathy, not specified as acute or chronic]] | ***[[Liver failure w/wo hepatic encephalopathy, not specified as acute or chronic]] | ||
== Codes to Consider == | |||
*Coma codes: | |||
**[[Myxedema with coma]] | |||
**[[Diabetic coma]] | |||
**[[Coma, NOS]] | |||
*Encephalopathy-related codes | |||
**[[Delirium, not due to drugs or alcohol]] | |||
**[[Encephalopathy, toxic]] | **[[Encephalopathy, toxic]] | ||
**[[Encephalopathy, septic or metabolic]] | **[[Encephalopathy, septic or metabolic]] | ||
**[[Encephalopathy, NOS]] -- {sc:toxic/drug-induced, metabolic, septic, hypertensive} | **[[Encephalopathy, NOS]] -- {sc:toxic/drug-induced, metabolic, septic, hypertensive} | ||
**[[Encephalopathy, hypertensive]] | **[[Encephalopathy, hypertensive]] | ||
**[[Liver failure w/wo hepatic encephalopathy, acute or subacute NOS]] | **[[Liver failure w/wo hepatic encephalopathy, acute or subacute NOS]] | ||
**[[Liver failure w/wo hepatic encephalopathy, alcoholic]] | **[[Liver failure w/wo hepatic encephalopathy, alcoholic]] | ||
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**[[Liver failure w/wo hepatic encephalopathy, due to toxin/drug NOS]] | **[[Liver failure w/wo hepatic encephalopathy, due to toxin/drug NOS]] | ||
**[[Liver failure w/wo hepatic encephalopathy, not specified as acute or chronic]] | **[[Liver failure w/wo hepatic encephalopathy, not specified as acute or chronic]] | ||
*Overlapping symptom codes | |||
**[[Somnolence, stupor or obtundation]] | **[[Somnolence, stupor or obtundation]] | ||
**[[Disorientation]] | **[[Disorientation]] | ||
**[[Amnesia]] | **[[Amnesia]] | ||
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**[[Violent behavior]] | **[[Violent behavior]] | ||
**[[Symptom or sign involving emotional state, NOS]] | **[[Symptom or sign involving emotional state, NOS]] | ||
*Other/misc related codes | |||
**[[Anoxic brain injury, NOS]] | |||
**[[Organic brain disorder, NOS]] | |||
**[[Persistent vegetative state]] | |||
<noinclude> | <noinclude> | ||