Icd 10 code for altered mental status3/29/2023 ![]() ![]() Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification.This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.Our extensive Action Plan Library provides targeted and interactive sessions in an easily digestible format, including one on “Encephalopathy, Altered Mental Status, Dementia and Delirium Coding. This session is approved for 1.5 AHIMA CEUs. FY2019 IPPS Changes: This approximately one and one half (1.5) hour session focuses on changes in MS-DRG assignment, reimbursement updates and MCE edits to the IPPS for FY2018.This session is approved for 3 AHIMA CEUs and/or 2.5 AAPC CEUs. ICD-10-CM New Codes FY2019: This two and one half (2.5) hour session, with accompanying aptitude quiz, focuses on additions/deletions/revisions for ICD-10-CM for FY2018, including guideline changes.This session is approved for 2 AHIMA CEUs. ICD-10-PCS New Codes FY2019: This two and one half (2.5) hour session, with accompanying aptitude quiz, focuses on the additions/deletions/revisions to ICD-10-PCS, including guideline changes.Our learning management system provides your staff with on demand access and the flexibility you need to set a training schedule that meets individual needs. HIA can provide your coding staff with a comprehensive understanding of these changes via HIAlearn. However, reporting the more specific code would support DRG 640 post. The documentation could have been better or documented more during the encounter. Resulting in a decrease of 0.4383 to the case weight and a reduction of $2,410.65 to reimbursementĭocumentation in the record supported a more specific encephalopathy code.Post – DRG 641, Misc Disorders of Nutrition, Metabolism Without MCC, Wt.Pre – DRG 640, Misc Disorders of Nutrition, Metabolism with MCCC, Wt.The more specific code for Metabolic Encephalopathy is still considered an MCC post. The coder assigned G9340, Encephalopathy unspecified, as a secondary diagnosis.ĭocumentation in the H&P did support a more specific code for Encephalopathy and code G9341, Metabolic Encephalopathy, could have been reported. The coder assigned the appropriate code for hyponatremia as the principal diagnosis. Documentation on the H&P stated the encephalopathy was metabolic. Ĭase 2: Patient admitted for hyponatremia and encephalopathy. Resulting in a decrease of 0.9681 to the case weight and a reduction of $5,324.55 to reimbursementīetter documentation for the cause/type of encephalopathy could potentially support DRG 480 post.Post – DRG 481, Hip & Femur Procedures Except Major Joint with CC, Wt.Pre – DRG 480, Hip & Femur Procedures Except Major Joint with MCC, Wt.A query to the provider to document the cause/type of the encephalopathy could impact the DRG. Documentation in the record suggests that the encephalopathy may have been caused by the anesthesia. Post unspecified encephalopathy is no longer considered an MCC, but toxic encephalopathy is. The DRG would have been 480, Hip & Femur Procedures Except Major Joint W MCC, CMS weight 3.0304. Prior to Octounspecified encephalopathy would have been considered an MCC. The coder reported the appropriate principal diagnosis and procedure code but assigned G9340, Encephalopathy unspecified, as a secondary diagnosis. Postop the patient had some confusion the provider documented “acute encephalopathy post op. The patient had operative repair of the fracture with an ORIF. Case 1: Patient admitted for subtrochanteric femur fracture. ![]()
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