(2022) How To Code Encephalopathy ICD 10 – Codes & Guidelines

Encephalopathy ICD 10 coding is made easier with our billing guidelines. This article includes all medical codes you will need to report encephalopathy and related specific codes, such as hepatic encephalopathy and anoxic encephalopathy.

Read on for a summary of the necessary codes followed by a further description.

What Is Encephalopathy?

The term encephalopathy refers to sickness, injury, or dysfunction of the brain. Encephalopathy and brain disease come in a variety of forms. Some are permanent, while others are only transitory.

Some types are present at birth and do not alter, whereas others are acquired later in life and can deteriorate.

Encephalopathy can cause a wide range of symptoms, from minor memory loss or changes in personality complications like dementia, seizures, coma, and death.

The core manifestation of encephalopathy Is altered sensorium, which could accompany physical manifestation such as abnormal limb coordination.

Encephalopathy is often preceded by specific words that explain what is causing the malfunction within the brain.

For example, anoxic encephalopathy Indicates the abnormality within the brain due to oxygen deficit within brain substances. Encephalopathy is not a single disease entity.

Instead, encephalopathy is a collection of illnesses caused by various factors. It’s a severe medical condition that, if left untreated, can result in permanent brain damage.

Causes

• Infectious causes include (bacteria, fungi, viruses, parasites
• Alcohol toxicity
• Liver diseases which include liver cirrhosis and liver malignancies
• Kidney failure
• Brain malignancies
• Various toxic chemicals such as Mercury, lead, or ammonia
• Certain metabolic disorders (hypo or hypercalcemia, hypo or hyperglycemia
• Poor nutrition (vitamin B1 deficiency)
• Drugs induced encephalopathies such as the use of cyclosporine and tacrolimus

Symptoms

The symptoms you experience will vary depending on the type and origin of your encephalopathy.

However, the following are some of the most common:

• State of confusion
• Change In personality
• Loss of memory
• Inability to focus or think clearly
• Seizure disorders
• Tremor
• Uncontrollable muscle weakness and twitches
• Sleepiness etc

Diagnosis & Treatment

A complete history is taken, putting medical and drug history Into consideration, investigations such as:

• Blood and urine tests
• Cerebrospinal fluid tests
• Imaging scans can be done which CT scans or MRI
• An electroencephalography test may be indicated, which help to access electrical activity within the brain

Treatment includes removal of what is causing the encephalopathy after a thorough investigation has been done.

• Medications such as anti-seizure can be given to abort the seizure
• Stopping medications that could trigger the disease condition
• Change of diet
• Nutritional supplementation
• Renal Dialysis or organ transplant of kidney and liver abnormalities are the cause of the problem

Encephalopathy ICD 10

Encephalopathy ICD 10 is coded as G93.40 encephalopathy unspecified is a billable code used to Indicate diagnosis of reimbursement.

It is located in chapter VI Diseases of the nervous system G00-G99, under block Other disorders of the nervous system G89-G99, category Other disorders of brain G93.

Synonyms:

• Static encephalopathy
• Encephalopathy due to Avian Influenza
• Disorder of brain

Metabolic Encephalopathy ICD 10

Metabolic encephalopathy is a broad term that refers to imbalances in water, electrolytes, vitamins, and other compounds that harm brain function.

It includes an abnormal increase or decrease in blood sugar levels (hypoglycemia and hyperglycemia).

It also consists of reducing or increasing sodium concentration (hyponatremia and hypernatremia).

Metabolic encephalopathy ICD 10 is coded as G93.41 subcategory metabolic encephalopathy.

It is a billable located in chapter VI Diseases of the nervous system G00-G99, under block Other disorders of the nervous system G89-G99, category Other disorders of brain G93.

Applicable to sepsis encephalopathy.

Synonyms:

• Dialysis disequilibrium syndrome
• Hyponatremic encephalopathy
• Uremic encephalopathy
• Secondary amyloid encephalopathy
• Sepsis-associated encephalopathy

Excludes:

• Alcoholic encephalopathy (G31.2)
• Encephalopathy in diseases classified elsewhere (G94)

Acute Encephalopathy ICD 10

Acute encephalopathy ICD 10 can be coded as G93.40 encephalopathy unspecified.

Toxic Metabolic Encephalopathy ICD 10

Toxic Metabolic Encephalopathy ICD 10 is coded as G92.8 Other toxic encephalopathies, is a billable located in chapter VI Diseases of the nervous system G00-G99, under block Other disorders of the nervous system G89-G99, category toxic encephalopathy G92-

Code applies to :

• Toxic encephalitis
• Toxic myelitis

Anoxic Encephalopathy ICD 10

This diseases condition is often associated with hypoperfusion of cerebral tissue.

Hence enough oxygen is not getting to the brain, which often results from carbon monoxide poisoning, drug overdose, injury to vessels, and rare cases of cardiac arrest.

Anoxic encephalopathy ICD 10 is coded as G93.1 Anoxic brain damage, not elsewhere classified.

Synonyms:

• Hypoxia of brain
• Hypoxia, cerebral
• Anoxic brain damage resulting from a procedure
• Anoxic encephalopathy
• Encephalopathy, anoxic

Excludes:

• Cerebral anoxia due to anesthesia during labor and delivery (O74.3)
• Neonatal anoxia (P84)

Hypoxic Ischemic Encephalopathy ICD 10

Hypoxic ischemic encephalopathy occurs when there is a reduction of blood flow to the brain.

Hypoxic ischemic encephalopathy ICD 10 is an unspecified code P91.60 Hypoxic ischemic encephalopathy [HIE].

It is a billable code, located in chapter XVI certain conditions originating in the perinatal period P00-P96, under block Other disorders arising in the perinatal period  P90-P96, category other disturbances of the cerebral status of newborn P91-.

Hypoxic ischemic encephalopathy [HIE] unspecified P91.60.

Mild hypoxic ischemic encephalopathy [HIE] P91.61.

Moderate hypoxic ischemic encephalopathy [HIE] P91.62.

Severe hypoxic ischemic encephalopathy [HIE] P91.63.

Synonyms:

• Perinatal anoxic ischemic brain encephalopathy
• Birth hypoxic ischemic injury

Wernickes Encephalopathy ICD 10

Wernicke’s encephalopathy (or Wernicke’s disease) refers to an acute neurological manifestation induced by biochemical damage of the CNS following the use of vitamin B reserve from excessive alcohol intake.

Wernickles encephalopathy ICD 10 E51.2, a billable code located in chapter IV Endocrine, nutritional and metabolic diseases E00-E89, under block Other nutritional deficiencies E50-E64, category thiamine deficiency E51-.

Uremic Encephalopathy ICD 10

Uremic encephalopathy is the aggregation of toxic nitrogenous waste from chronic or acute renal failure causing brain abnormality, with symptoms ranging from mild to severe depending on its severity.

Uremic encephalopathy ICD 10 is coded as G92.8 Other toxic encephalopathies.

Hypertensive Encephalopathy ICD 10

Malignant hypertension can cause brain malfunction or injury.

For example, cerebral blood flow is impaired when blood pressure exceeds the limits of cerebral autoregulation (Brain ischemia).

Hypertensive encephalopathy ICD 10 is coded as I67.4, located in chapter Diseases of the circulatory system I00-I99, under Cerebrovascular block diseases I60-I69, category Other cerebrovascular diseases I67-

Alcoholic Encephalopathy ICD 10

It can be referred to as:

• Korsakoff psychosis
• Wernicke’s encephalopathy
• Encephalopathy alcoholic
• Alcohol dementia

It is a type of brain injury that most commonly occurs in those who consume large amounts of alcohol.

It’s a medical situation that requires immediate attention. It can cause lasting brain damage if not addressed promptly.

Alcoholic encephalopathy ICD 10  is coded as G31.2, located in chapter VI Diseases of the nervous system G00-G99 under block other degenerative diseases of the nervous system G30-G32, category Other degenerative disorders of the nervous system, not elsewhere classified G31.

Synonyms:

• Degeneration of the brain due to alcoholism
• Degenerative brain disorder due to alcohol
• Alcohol-induced encephalopathy
• Alcoholic encephalopathy
• Cerebral degeneration due to alcoholism
• Alcoholic cerebellar ataxia
• Alcoholic cerebellar degeneration

ICD 10 Code For Hepatic Encephalopathy With Cirrhosis

The severe liver illness causes hepatic encephalopathy, a neurological system ailment.

Toxins build up in the blood when the liver isn’t working correctly.

These poisons can travel to the brain and disrupt brain function.

Hepatic encephalopathy ICD 10 is coded as K72.91 hepatic failure unspecified with coma, a billable code located in chapter XI Diseases of the digestive system K00-K95, under block Diseases of liver  K70-K77, Hepatic category failure, not elsewhere classified K72–

Synonyms:

• Hepatic coma
• Hepatic coma due to hepatitis
• Hepatic encephalopathy
• Hepatitis with hepatic coma

Excludes:

Alcoholic hepatic failure (K70.4)

Hepatic failure with toxic liver disease (K71.1-)

Septic Encephalopathy

Septic encephalopathy is coded as G93.41 subcategory metabolic encephalopathy.

It is a billable located in chapter VI Diseases of the nervous system G00-G99, under block Other disorders of the nervous system G89-G99, category Other disorders of brain G93.

Static Encephalopathy

Static encephalopathy is a syndrome characterized by defective motor activities and postural abnormalities caused by a nonprogressive disorder of the developing brain.

The phrase refers to a varied collection of illnesses with various causes, and it is frequently used interchangeably with the term cerebral palsy.

There may be concurrent other neurologic issues, such as mental retardation, seizures, communication dysfunction, and vision and hearing abnormalities with the established motor dysfunction,

Static Encephalopathy is coded as G93.40 encephalopathy unspecified.

Encephalopathy ICD 11

Wernicke encephalopathy 5B5A.10.

Hypertensive encephalopathy 8B22.8.

Hypoxic-ischemic Encephalopathy 8B24.

Encephalopathy due to nutritional deficiency 8D40.0.

Encephalopathy due to toxicity 8D43.0.

Encephalopathy due to ammonia 8D43.00.

Other specified encephalopathies due to toxicity 8D43.OY.

Encephalopathy due to toxicity unspecified 8D43.0Z.

Anoxic ischemic Encephalopathy 8E65.

Hepatic Encephalopathy DB99.5.

Neonatal encephalopathy KB03.

Hypoxic ischemic Encephalopathy of newborn KB04.