Metabolic encephalopathy with DKA?

morris-jeff@CooperHealth.edumorris-jeff@CooperHealth.edu
in Clinical & Coding
Just wondering if you guys thought it would be appropriate to query for metabolic encephalopathy on pts with DKA? Not talking about the ones who truly have coma but ones that come in with AMS & then return to baseline once ph & other metabolic derangements improve. 

Thanks, 
Jeff

Comments

  • kbalogunkbalogun
    YES!  See the new coding clinic
  • jackietouch@aol.comjackietouch@aol.com
    Yes, I query for it. Especially if patient requires additional resources such as restraints, 1:1 sitter, etc.

    Jackie
  • cselukecseluke
    What is the reference for the Coding Clinic?

    Cathy Seluke
  • jmccorkl@stanfordhealthcare.orgjmccorkl@stanfordhealthcare.org
    The only new Coding Clinic I can find regarding Encephalopathy and Diabetes is 
    Clarification: Encephalopathy due to Diabetic Hypoglycemia
    Coding Clinic, Third Quarter 2016: Page 42

    Is there another one re: Encephalopathy and DKA?

    Jeanne McCorkle BSN, RN, CCDS
  • rdbrayrdbray

    Does anyone have additional input if querying for DKA and encephalopathy is appropriate? I would think metabolic encephalopathy would be inherent to DKA, due to acidosis. Metabolic encephalopathy is temporary or permanent damage to the brain due to lack of glucose, oxygen, or other metabolic agent, or caused by organ dysfunction. Symptoms include an altered state of consciousness, usually characterized as delirium, confusion, or agitation, and changes in behavior or personality. 

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