Neurology & Pain Management Coding Alert

You Be the Coder:

Check ICD-9 for Coding Brain Death

Question: How do I go about coding brain death found by routine EEG?

Wisconsin Subscriber

Answer: The temptation might be to use 348.9 (Unspecified condition of the brain), but the ICD-9 alphabetic index directs coders to 348.8 (Other conditions of brain) for the listing "death, brain."

Bonus tip: You should always verify that the alphabetic index gave you the most correct option by checking the tabular list.

Remember the EEG: Routine electroencephalography (EEG) can be used to determine brain death. If your neurologist has performed an EEG under this scenario, you can use 95824 (Electroencephalogram [EEG]; cerebral death evaluation only) to code the diagnostic study.