Template:ICD10 Guideline Altered mental status: Difference between revisions
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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]] | ||
**If the cause of the encephalopathy/altered mental status is not one of those, then the choices are: | **If the cause of the encephalopathy/altered mental status is not one of those, then the choices are: | ||
***[[Delirium, not due to drugs or alcohol]] | ***[[Delirium, not due to drugs or alcohol]] -- use this if the person is CAM-positive (CAM is a tool used to detect delerium) of if the patient otherwise fits the clinical definition of delirium as an acute confusional state that tends to wax and wane relatively rapidly (over hours or even shorter), and may be accompanied by agitation or psychomotor depression. | ||
***[[Encephalopathy, NOS]] | ***[[Encephalopathy, NOS]] -- if the person doesn't meet the delerium definition, then you probably should use this code | ||
***[[Somnolence, stupor or obtundation]] | ***[[Somnolence, stupor or obtundation]] -- this is one of the "signs & symptoms" codes and as usual should only be used when an actual diagnosis is not known. Thus, although you could use this code for "Altered mental status", one of the above is preferable, if applicable. | ||
== Codes to Consider == | == Codes to Consider == | ||
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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]] | ||
**[[Wernicke's encephalopathy (Wernicke-Korsakoff syndrome)]] | |||
*Overlapping symptom codes | *Overlapping symptom codes | ||
**[[Somnolence, stupor or obtundation]] | **[[Somnolence, stupor or obtundation]] | ||