Template:ICD10 Guideline Altered mental status: Difference between revisions
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**(3) The clinical terminology is variable, confusing, and often nonspecific | **(3) The clinical terminology is variable, confusing, and often nonspecific | ||
***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 | *As usual in ICD10, you should use the most specific code available, and use "waste basket/NOS codes" only when a more specific code is not available. | ||
*And also, as usual, if you do know the cause, you can combine the code for the cause with the code identifying the nature of the brain problem | *And also, as usual, if you do know the cause, you can combine the code for the cause with the code identifying the nature of the brain problem | ||
*If what you've got is actual coma (a statue of unarousable unresponsiveness where the person looks asleep, with eyes closed, no voluntary movements, and unable to be awoken), then use one of the coma codes, not delerium or encephalopathy | *If what you've got is actual coma (a statue of unarousable unresponsiveness where the person looks asleep, with eyes closed, no voluntary movements, and unable to be awoken), then use one of the coma codes, not delerium or encephalopathy | ||
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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]] | ||
***Note that if you do code one of these liver failure codes in a person with hepatic encephalopathy, there is no need to also code one of the "free-standing" encephalopathy codes. | |||
**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]] -- 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. | ***[[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. | ||
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</noinclude>=== Altered mental status === | </noinclude>=== Altered mental status === | ||
{{ | {{DT | Done with this template, the codes to put in into are shown above }} | ||