Hepatic encephalopathy

 Hepatic Encephalopathy 

ICD-9 has  one code to describe hepatic encephalopathy.   

Because many patients may have hepatic encephalopathy and be chronically on lactulose,  ICD-10  creates two codes to delineate the conditions based on severity: one for those “without coma” and another for those with significant symptoms (described as “with coma” in ICD-10). 

ICD-10 leaves the determination of what symptoms of hepatic encephalopathy constitute “with coma” to the physician. 

So remember

WITH Coma

WITHOUT Coma