1. Encephalopathy AMS/Dementia Coma Malnutrition
Clinical Documentation Specialists November 27, Department of Internal Medicine

2. ENCEphalopathy
Center for Medicare and Medicaid Services (CMS) has many codes based on documented specificity

4. The government definition of Encephalopathy

6.       ICD-10-CM/PCS Coding Clinic, Second Quarter ICD Pages: Effective with discharges: June 6, 2018
The advice provided in Coding ClinicSecond Quarter 2017, pages 8-9, is accurate. When encephalopathy is linked to a specific condition, such as stroke or urinary tract infection, it is appropriate to use the code describing "other encephalopathy."

7. So what do you document?
Encephalopathy, unspecified, if the type of encephalopathy is not documented. Assign a more specific code, when the type of encephalopathy is documented.
Assign code G93.41, Metabolic encephalopathy, for sepsis-associated encephalopathy
If it is an adverse reaction to medication, assign code G92, Toxic encephalopathy,

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9. COMA
Once Again, CMS offers a lot of options to capture the most specific reflection of the patient’s condition.
The individual GSC is used by CMS with more impact than a total score

13. AMS

14. Dementia
The CMS options……….

15. Alzheimer’s with Dementia

16. Parkinson’s with Dementia

19. nutrition
Malnutrition and Obesity

22. Hierarical Condition Categories (HCC’s) and Risk Adjusted Diagnoses For Outpatient and Clinic Visits

25. Which part must you document?

28. Contact Information