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Alcohol induced seizures?

  1. Default
    Medical Coding Books
    I agree, it could be a poisoning or an allergic reaction, whichever is documented.

  2. #12
    Columbia, MO
    while i will agree that you do needto know whether itis poisoning or allergic reation, thn you also cannot jump to alcohol abuse or dependence, because you cannot have an allergic reaction ifyou are abusinga substance or if you must take a substance to a chemical dependency. So if you are going to use 305 or 303 codes then it has to be a poisoning.

    Debra A. Mitchell, MSPH, CPC-H

  3. #13
    Tacoma, WA
    Quote Originally Posted by Tonyj View Post
    Can anyone assist me with a code(s) for alcohol induced seizures? Thanks in advance.
    Unless the note states that the patient was abusing alcohol or was poisoned by alcohol and then had alchohol induced seizures, the only code you can use is 780.39 for Seizure NOS. All the other codes assume a condition that is not stated. This could also be alcohol withdrawal syndrome, but unless the doctor stated that, we cannot assume.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  4. Default
    my doctor continously keeps dx alcohol withdrawal seizures, i thought about the 291.81 for the alcohol withdrawal and the 345.80, however the pt does not have a hx of seizures only when he tried to stop drinking that he had another seizure induced by alcohol withdrawals... can someone please help me find the best code for this dx as he has been using this dx more and more frequently. thank you

  5. Default
    The correct sequence is 291.81, 303.90 and 780.39 for alcohol withdrawal seizure. Why are you using 346.80 while the patient has no H/o of seizure?

    Jesus Brightwin

  6. Default Diagnosis of alcohol - related seizures
    "Diagnosis of alcohol - related seizures

    History taking

    Unless alcohol withdrawal symptoms are unequivocally present, the clinical diagnosis of an alcohol - related seizure can only be made by obtaining a drinking history that indicates alcohol overuse prior to the seizure. As patients frequently underreport true levels of alcohol consumption, there is a need to control for this bias. Therefore, whenever possible, a relative or friend should be asked about the recent alcohol intake."

    I thought this article might be useful to this discussion.
    Valerie Bates-Hoff, CPC, CPMA
    Medical Coder/Auditor/Trainer

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