AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 2; Ask the Editor

Osmotic Demyelination Syndrome

A patient was admitted to the intensive care unit for monitoring of hyponatremia. Following treatment with intravenous fluids the sodium level normalized, however, the patient developed urinary incontinence and the inability to walk or follow commands. Neurology evaluation noted decreased alertness and ankle clonus. Magnetic resonance imaging (MRI) of the brain showed restricted diffusion and increased flair signal in the central pons, putamen, caudate, and thalamus bilaterally. The provider’s documentation confirmed these findings as osmotic demyelination syndrome (ODS). The condition progressed and the patient is now in a locked-in state. What is the appropriate ICD-10-CM code assignment for osmotic demyelination syndrome? ...

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