Hepatic Encephalopathy Update

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To better reflect patient acuity when documenting hepatic encephalopathy:

  • Include the underlying liver disease
    • The acuity of the underlying liver disease
      • g., acute, subacute, or chronic
    • The etiology of the underlying liver disease
      • g., alcoholic, etc.
    • Include if the patient is in a coma

It is also appropriate to consider if the diagnosis of acute toxic encephalopathy is clinically appropriate when a patient with chronic hepatic encephalopathy develops worsening altered mental status due to the build-up of toxins within the body.

Example of effective documentation that will demonstrate patient acuity and severity:

  • Acute toxic encephalopathy complicating chronic hepatic encephalopathy

Download the complete tip, Hepatic Encephalopathy Update.