ICD 10 Code for Metabolic Encephalopathy
Metabolic encephalopathy is a condition that affects brain function due to problems with the body’s metabolism. Metabolism is the process of converting food into energy and removing waste products from the body. When this process is disrupted by diseases or toxins, it can cause brain cells to swell and malfunction. This can lead to various symptoms such as confusion, memory loss, coma, and even death.
Metabolic encephalopathy can be caused by many factors, such as low blood sugar, high blood pressure, liver failure, kidney failure, infections, medications, alcohol, and drugs. The symptoms and severity of metabolic encephalopathy depend on the underlying cause and the extent of brain damage. Some cases may be reversible if the cause is treated promptly, while others may result in permanent brain damage or death.
If you are a medical coder or a healthcare provider, you need to know how to code for metabolic encephalopathy using the ICD-10 system. ICD 10 stands for International Classification of Diseases, 10th Revision. It is a standardized system of codes that classify diseases and health conditions for diagnosis, treatment, and reimbursement purposes.
What is the ICD 10 Code for Metabolic Encephalopathy?
The ICD 10 code for metabolic encephalopathy is G93.41. This code belongs to the category G93 – Other disorders of the brain. This category includes various conditions that affect brain function due to different causes.
The code G93.41 is a billable/specific code that can be used to indicate a diagnosis of metabolic encephalopathy for reimbursement purposes. The code G93.41 has the following annotation back-references:
- Use Additional: R65.11 (Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction), M31.11 (Hypocomplementemic urticarial vasculitis), R65.2 (Severe sepsis)
These codes indicate that you need to use additional codes to specify the cause or complication of metabolic encephalopathy.
The code G93.41 also has the following synonyms:
- Septic encephalopathy
- Encephalopathy due to avian influenza
- Encephalopathy due to Influenza A
- Influenza A with encephalopathy
- Influenza, avian with encephalopathy
These synonyms can help you understand the meaning and context of the code G93.41.
How is the ICD 10 Code for Metabolic Encephalopathy Used for Reimbursement Purposes?
The ICD 10 code for metabolic encephalopathy is used to indicate a diagnosis of metabolic encephalopathy for reimbursement purposes. The code G93.41 is grouped within Diagnostic Related Groups (DRGs) that determine the payment rates for hospital services. The DRGs for metabolic encephalopathy are:
- 811 – Red blood cell disorders with major complications or comorbidities (MCC)
- 812 – Red blood cell disorders without MCC
The DRGs are based on factors such as diagnosis, procedures, age, sex, and discharge status.
The code G93.41 can also be used to report metabolic encephalopathy as a secondary diagnosis or comorbidity that affects the treatment or outcome of another condition.
For example, if a patient has diabetes mellitus and develops metabolic encephalopathy due to high blood sugar levels, you can use the code E11 – Type 2 diabetes mellitus as the primary diagnosis and the code G93.41 as the secondary diagnosis.
What are Some Related Codes for Metabolic Encephalopathy?
There are some related codes for metabolic encephalopathy that you may encounter in your coding practice. These codes include:
- G93.40 – Encephalopathy, unspecified
- G92 – Toxic encephalopathy
- G94 – Other disorders of the brain in diseases classified elsewhere
- R40-R46 – Symptoms and signs involving cognition, perception, emotional state, and behavior
These codes can help you specify the type, cause, or manifestation of metabolic encephalopathy.
Conclusion
Metabolic encephalopathy is a condition that affects brain function due to problems with the body’s metabolism. It can be caused by many factors, such as low blood sugar, high blood pressure, liver failure, kidney failure, infections, medications, alcohol, and drugs. It can cause various symptoms, such as confusion, memory loss, coma, and even death.
The ICD 10 code for metabolic encephalopathy is G93.41. This code is a billable/specific code that can be used to indicate a diagnosis of metabolic encephalopathy for reimbursement purposes. The code G93.41 is grouped within DRGs that determine the payment rates for hospital services. The code G93.41 can also be used to report metabolic encephalopathy as a secondary diagnosis or comorbidity.
There are some related codes for metabolic encephalopathy that you may encounter in your coding practice. These codes can help you specify the type, cause, or manifestation of metabolic encephalopathy.
We hope this blog post has provided you with useful information about the ICD 10 code for metabolic encephalopathy. If you have any questions or comments, please feel free to leave them below. Thank you for reading!
References
(1) ICD-10 Code for Metabolic encephalopathy- G93.41- Codify by AAPC.
(2) 2023 ICD-10-CM Diagnosis Code G93.41: Metabolic encephalopathy.
(3) Metabolic Encephalopathy: Causes, Symptoms, Diagnosis, Treatment, Complications, and Prevention
(4) G93.41 – Metabolic encephalopathy – ICD List 2023.
(5) ICD-10-CM Code G93.41 – Metabolic encephalopathy.