ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesG92.8

G92.8

Billable

Other toxic encephalopathy

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G92.8 is a billable code used to indicate a diagnosis of other toxic encephalopathy.

Key Diagnostic Point:

Other toxic encephalopathy (G92.8) refers to a group of neurological disorders caused by exposure to toxic substances, which can lead to brain dysfunction. This condition may arise from various sources, including heavy metals, solvents, drugs, and other environmental toxins. Patients may present with a range of symptoms, including cognitive impairment, seizures, altered consciousness, and motor dysfunction. The pathophysiology often involves direct neuronal damage or disruption of neurotransmitter systems, leading to both acute and chronic neurological deficits. Pain syndromes may also develop as a result of nerve damage or central sensitization. Autonomic disorders can manifest due to dysregulation of the autonomic nervous system, resulting in symptoms such as abnormal heart rate, blood pressure fluctuations, and gastrointestinal disturbances. Hydrocephalus may occur if there is obstruction of cerebrospinal fluid pathways due to swelling or structural changes in the brain. Accurate diagnosis requires a thorough clinical evaluation, including history of toxin exposure, neurological examination, and appropriate imaging studies. Treatment focuses on removing the source of toxicity, supportive care, and rehabilitation to address neurological deficits.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential toxic agents leading to similar symptoms
  • Need for comprehensive patient history to identify exposure
  • Differentiation from other encephalopathies
  • Potential for co-existing neurological conditions

Audit Risk Factors

  • Inadequate documentation of toxin exposure
  • Failure to specify the type of toxic agent
  • Misclassification of symptoms as primary neurological disorders
  • Lack of supporting diagnostic tests

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed history of toxin exposure, neurological examination findings, and diagnostic imaging results.

Common Clinical Scenarios

Patients presenting with cognitive decline, seizures, or unexplained neurological deficits following known toxin exposure.

Billing Considerations

Ensure documentation reflects the specific toxic agent and its effects on the nervous system.

Toxicology

Documentation Requirements

Comprehensive toxicological assessment, including laboratory tests for specific toxins.

Common Clinical Scenarios

Patients with acute or chronic symptoms following exposure to environmental or occupational toxins.

Billing Considerations

Document the timeline of exposure and symptom onset to establish causality.

Coding Guidelines

Inclusion Criteria

Use G92.8 When
  • According to ICD
  • 10 coding guidelines, G92
  • 8 should be used when the specific toxic agent is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that other potential causes of encephalopathy are ruled out

Exclusion Criteria

Do NOT use G92.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Office or other outpatient visit, established patient

Clinical Scenario

Used for follow-up visits for patients diagnosed with toxic encephalopathy.

Documentation Requirements

Document history, examination findings, and treatment plan.

Specialty Considerations

Ensure that the visit reflects ongoing management of neurological symptoms.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of toxic encephalopathies, improving the ability to track and manage these conditions. G92.8 provides a broader classification for cases that do not fit into more specific categories, enhancing clinical understanding and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of toxic encephalopathies, improving the ability to track and manage these conditions. G92.8 provides a broader classification for cases that do not fit into more specific categories, enhancing clinical understanding and treatment planning.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of toxic encephalopathy?

Common causes include exposure to heavy metals, solvents, pesticides, drugs, and certain infections. Identifying the specific toxin is crucial for effective management.

How can I differentiate G92.8 from other encephalopathy codes?

G92.8 should be used when the encephalopathy is specifically due to a toxic agent not classified elsewhere. Ensure thorough documentation of the exposure history.