"Costochondritis" is a big word meaning "we don't think your chest pain is a heart attack but we want to use a big doctor word to impress you."
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I know it's a billing issue but please show me where altered mental status or delirium are stated as the generic "acute encephalopathy" in books. Not talking about sophisticated "septic encephalopathy" or "hepatic encephalopathy". Generic unspecified AMS.
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well i can’t. it’s strictly a billing issue. if only “some people” are calling it encephalopathy then the rest are under billing, unfortunately.
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You just cleared up a mystery for me. I’ve seen that inelegant substitute for delirium creep into our hospital over the last 10 years and couldn’t for the life of me figure out what lecture I had missed. Delirium is as much a diagnosis as pain is.
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I've had attendings force me to use acute encephalopathy when I was calling the problem "Altered Mental Status" because it's not billable. Wtf. There's no chapter called Acute encephalopathy in Harrison's.
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My favorite is that I have to choose whether a bug bite is accidental, intentional, or assault for the coding gods to be happy. What was going on in their tiny brains?
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