Encephalopathy, septic or metabolic

ICD10 Diagnosis
Dx:	Encephalopathy, septic or metabolic
ICD10 code:	G93.80
Pre-ICD10 counterpart:	Other Metabolic Encephalopathy
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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  • 2019-01-01
  • 2999-12-31
  • G93.80

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Additional Info

• 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
  • Liver failure w/wo hepatic encephalopathy, chronic NOS
  • Liver failure w/wo hepatic encephalopathy, not specified as acute or chronic
  • Liver failure due to toxin/drug NOS, w/wo hepatic encephalopathy
  • Liver failure, alcoholic, w/wo hepatic encephalopathy

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.

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Altered mental status coding guideline

Coding altered mental status in ICD10 can be complex, see ICD10 Guideline for coding altered mental status for more info.

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results