ICD-10 Coding for Anoxic Encephalopathy(G93.1)
Complete ICD-10-CM coding and documentation guide for Anoxic Encephalopathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anoxic Encephalopathy
G93.0-G93.9Primary Range
Other disorders of brain
This range includes codes for various brain disorders, with G93.1 specifically addressing anoxic brain damage.
Cardiac arrest
Relevant for coding underlying causes of anoxic encephalopathy, such as cardiac arrest.
Key Information: ICD-10 code for anoxic encephalopathy
Essential facts and insights about Anoxic Encephalopathy
Primary ICD-10-CM Code for anoxic encephalopathy
Decision Criteria
clinical Criteria
- Presence of anoxic brain damage symptoms and diagnostic findings.
documentation Criteria
- Specific mention of 'anoxic encephalopathy' in medical records.
Applicable To
- Anoxic encephalopathy
Clinical Validation Requirements
- Glasgow Coma Scale (GCS) ≤8 for >24 hours
- MRI/CT showing bilateral basal ganglia hypodensities
- Elevated neuron-specific enolase (NSE) >33 ng/ml
Code-Specific Risks
- Risk of incorrect coding if underlying cause is not documented.
Coding Notes
- Ensure documentation specifies 'anoxic' and links to underlying causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Cardiac arrest, cause unspecified
I46.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Anoxic Encephalopathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G93.1.
Impact
Clinical: May lead to incomplete treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure comprehensive documentation of all relevant clinical findings., Use templates to guide documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects accuracy of patient records.
Mitigation Strategy
Use G93.1 alone unless a separate condition justifies additional coding.
Impact
Risk of audits due to vague documentation of encephalopathy.
Mitigation Strategy
Use specific terms and link to underlying causes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Anoxic Encephalopathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anoxic Encephalopathy
Use these documentation templates to ensure complete and accurate documentation for Anoxic Encephalopathy. These templates include all required elements for proper coding and billing.
Post-cardiac arrest with anoxic encephalopathy
Specialty: NeurologyRequired Elements
- History of cardiac arrest
- GCS score
- EEG findings
- MRI/CT results
- Serum NSE levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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