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G93.49

Billable

Other encephalopathy

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This code describes inflammation or dysfunction of the brain that doesn't fit into other specific encephalopathy categories. It's used when a patient has brain swelling or brain dysfunction from various causes that aren't more precisely defined.

Coding Tips

  • Always review the clinical documentation to identify the underlying cause of encephalopathy (toxic, metabolic, anoxic, etc.) as more specific codes may be available and preferred
  • This is a catch-all code, so ensure no more specific G93.4x subcategory applies before assigning G93.49; check for documented etiology that might support a more specific diagnosis code

Code Hierarchy

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