Meningoencephalitis: Difference between revisions

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*It is not an infection, it is an autoimmune disease.  We only have infections or toxicity for encephalitis.  I can put immunological problems-other but it fails to capture that the brain is affected then.  --[[User:LKolesar|LKolesar]] 14:29, 2016 March 8 (CST)  
*It is not an infection, it is an autoimmune disease.  We only have infections or toxicity for encephalitis.  I can put immunological problems-other but it fails to capture that the brain is affected then.  --[[User:LKolesar|LKolesar]] 14:29, 2016 March 8 (CST)  
**How about using "other-metabolic encephalitis" as well as your immunological code?[[User:Mlagadi|Mlagadi]]
**How about using "other-metabolic encephalitis" as well as your immunological code?[[User:Mlagadi|Mlagadi]]
**The code you mean is "other metabolic encephalopathy"  That is one option, I think I will discuss this with Dr. Garland.  Thanks for your thoughts on this. --[[User:LKolesar|LKolesar]] 18:06, 2016 March 8 (CST)
* in researching encephalitis, it does appear that bacterial meningitis like pneumococcal meningitis can lead to encephalitis (although it is very rare).  Our codes presently do not allow a bacterial pathogen for meningoencephalitis and we do not have a code for only encephalitis.  I put two websites above if anyone is interested.  Should we allow a pathogen option for meningoencephalitis in light of this?--[[User:LKolesar|LKolesar]] 14:23, 2015 September 23 (CDT)
* in researching encephalitis, it does appear that bacterial meningitis like pneumococcal meningitis can lead to encephalitis (although it is very rare).  Our codes presently do not allow a bacterial pathogen for meningoencephalitis and we do not have a code for only encephalitis.  I put two websites above if anyone is interested.  Should we allow a pathogen option for meningoencephalitis in light of this?--[[User:LKolesar|LKolesar]] 14:23, 2015 September 23 (CDT)
**encephalitis is a DX code with the proper term being '''meningoencephalitis'''. But it is not meningitis.
**encephalitis is a DX code with the proper term being '''meningoencephalitis'''. But it is not meningitis.

Revision as of 19:06, 8 March 2016

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Subacute sclerosing panencephalitis (SSPE) (caused by Measles virus), Mosquito-borne viruses (causes of encephalitis), Tick-borne viruses (causes of encephalitis), Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, bacterial, Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral, Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, infectious NOS

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System:
Category: Infection (old)

Type:

Medical Problem

Main Diagnosis: Meningoencephalitis
Sub Diagnosis:
  • Negative Culture
  • Unknown Pathogen
  • HSV
  • Other Virus
  • No culture Sent
  • Syphilis
  • West Nile
Diagnosis Code: 7700
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program:
Status:


bacterial encephalitis - not applicable

Template:Discussion

    • How do we code "NMDA" encephalitis? : "Anti-NMDA receptor encephalitis is a disease occurring when antibodies produced by the body's own immune system attack NMDA receptors in the brain. NMDA receptors are proteins that control electrical impulses in the brain."
  • It is not an infection, it is an autoimmune disease. We only have infections or toxicity for encephalitis. I can put immunological problems-other but it fails to capture that the brain is affected then. --LKolesar 14:29, 2016 March 8 (CST)
    • How about using "other-metabolic encephalitis" as well as your immunological code?Mlagadi
    • The code you mean is "other metabolic encephalopathy" That is one option, I think I will discuss this with Dr. Garland. Thanks for your thoughts on this. --LKolesar 18:06, 2016 March 8 (CST)
  • in researching encephalitis, it does appear that bacterial meningitis like pneumococcal meningitis can lead to encephalitis (although it is very rare). Our codes presently do not allow a bacterial pathogen for meningoencephalitis and we do not have a code for only encephalitis. I put two websites above if anyone is interested. Should we allow a pathogen option for meningoencephalitis in light of this?--LKolesar 14:23, 2015 September 23 (CDT)
    • encephalitis is a DX code with the proper term being meningoencephalitis. But it is not meningitis.
    • Encephalitis/meningoencephalitis is always viral or other atypical pathogen..but it is NOT bacterial or fungal. So the pathogens we have listed are adequate.
    • Meningitis however, can be bacterial, fungal or occasionally viral.
    • gram pos/neg does NOT apply to meningoenchphalitis. If you think that this is the organism causing the problem, then the underlying condition is probably meningitis, not encephalitis. (ie: the “meningo” part of “meningoencephalitis” is confusing). Meningoencephalitis is not the same as “Meningitis”…that is a separate diagnosis.--Dr. Anand Kumar, 1330, 2016, February 29.