Encephalopathy with Meningitis
We have recently seen denials coming through for coding encephalopathy with meningitis. The insurance companies are saying the encephalopathy should not be coded with the meningitis because altered mental status is inherent of the meningitis. We have attempted to fight this, but have not received an answer back yet. What is everyone's thought on coding the two together? Do other facilities code them together, or do you consider that every meningitis patient has encephalopathy?