ICD-10-CM Code B94.1
Sequelae of viral encephalitis
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.B94.1 is a billable ICD code used to specify a diagnosis of sequelae of viral encephalitis. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
The ICD code B941 is used to code Encephalitis
Encephalitis (from Ancient Greek ἐγκέφαλος, enképhalos “brain”, composed of ἐν, en, “in” and κεφαλή, kephalé, “head”, and the medical suffix -itis “inflammation”) is an acute inflammation of the brain. Encephalitis with meningitis is known as meningoencephalitis. Symptoms include headache, fever, confusion, drowsiness, and fatigue. Further symptoms include seizures or convulsions, tremors, hallucinations, stroke, and memory problems. In 2013, encephalitis was estimated to have resulted in 77,000 deaths, down from 92,000 in 1990.
| Specialty: | Neurology, Infectious Disease |
| MeSH Code: | D004660 |
| ICD 9 Code: | 323 |
Coronal T2-weighted MR image shows high signal in the temporal lobes including hippocampal formations and parahippocampal gyrae, insulae, and right inferior frontal gyrus. A brain biopsy was performed and the histology was consistent with encephalitis. PCR was repeated on the biopsy specimen and was positive for HSV
MS-DRG Mapping
- DRG Group #091-093 - Other disorders of nervous system with MCC.
- DRG Group #091-093 - Other disorders of nervous system with CC.
- DRG Group #091-093 - Other disorders of nervous system without CC or MCC.
Related Concepts SNOMET-CT
- Late effects of viral encephalitis (disorder)
Coding Advice SNOMET-CT
- Consider additional code to identify specific condition or disease
- This is a manifestation code for use in a secondary position
ICD-10-CM Alphabetical Index References for 'B94.1 - Sequelae of viral encephalitis'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code B94.1. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 139.0 was previously used, B94.1 is the appropriate modern ICD10 code.
Parent Code: B94 - Sequelae of other and unspecified infectious and parasitic diseases