Code Assignment For Uremic Encephalopathy
Irene Fung, RN,  CCS,  AHIMA Approved ICD-10 CM/PCS Trainer
Manager QA/Education
Clinical Documentation Coding Integrity
Boston Medical Center

Per Coding Clinic response to query, Unspecified encephalopathy due to other conditions is classified to G94, Other disorders of brain in diseases classified elsewhere, and unless the condition is specifically documented as (toxic) metabolic encephalopathy, you would not assign code G93.41 metabolic encephalopathy. Therefore, if the physician documents encephalopathy due to uremia, sequence the appropriate code for the uremia followed by G94.