FW: Hyperammonemia Query
From: Anderson, Cyndy
Sent: Thursday, September 10, 2015 2:36 PM
To: 'cdi'
Subject: Hyperammonemia Query
Good afternoon,
I am a CDI, subscribe to CDI Talk, and have a question regarding Hyperammonemia. I had a patient with Cirrhosis of the liver . The patient has documented Hepatic Encephalopathy and MD continued to document elevated Ammonia level. Patient received lactulose and Ammonia level improved after several days.
Is it appropriate to query for Hyperammonemia when hepatic encephalopathy has been documented ? Is the hyperammonemia considered intrinsic to the hepatic encephalopathy ? My email address is sca4@aol.com Thank You in advance for your response , Cyndy Anderson ,RN, CDI,
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Sent: Thursday, September 10, 2015 2:36 PM
To: 'cdi'
Subject: Hyperammonemia Query
Good afternoon,
I am a CDI, subscribe to CDI Talk, and have a question regarding Hyperammonemia. I had a patient with Cirrhosis of the liver . The patient has documented Hepatic Encephalopathy and MD continued to document elevated Ammonia level. Patient received lactulose and Ammonia level improved after several days.
Is it appropriate to query for Hyperammonemia when hepatic encephalopathy has been documented ? Is the hyperammonemia considered intrinsic to the hepatic encephalopathy ? My email address is sca4@aol.com Thank You in advance for your response , Cyndy Anderson ,RN, CDI,
--------------------------------------------------------------------------
The information transmitted is intended only for the person or entity to which it is addressed and may contain personal or confidential/privileged information. Any review, transmission, retransmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you receive this information in error, please contact the sender and delete the material from any computer.
Comments
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
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"We are His hands". Isaiah 64:8