Late effects of cerebrovascular disease
Cerebrovascular disease includes a variety of medical conditions that affect the blood vessels of the brain and the cerebral circulation. Arteries supplying oxygen and nutrients to the brain are often damaged or deformed in these disorders. The most common presentation of cerebrovascular disease is an ischemic stroke or mini-stroke and sometimes a hemorrhagic stroke. Hypertension is the m…
| Code | Diagnosis |
|---|---|
| 438 | Late effects of cerebrovascular disease |
Late effect of cerebrovascular disease; Late effects of cerebrovascular disease ICD-10-CM Diagnosis Code I69.922 [convert to ICD-9-CM] Dysarthria following unspecified cerebrovascular disease
438.21 is a legacy non-billable code used to specify a medical diagnosis of late effects of cerebrovascular disease, hemiplegia affecting dominant side. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Coding for a late effect condition requires three important steps: 1 Understanding what a “late effect” is; 2 Understanding the ICD-9-CM guidelines for coding late effects; and 3 Thoroughly reviewing the patient’s record to gather all the information necessary to select the appropriate code. More ...
A late effect condition can appear immediately after an illness or injury, months after, or in some cases, years later. To report a late effect condition, you’ll usually use two codes: One for the residual condition (e.g., scar), and another to identify the condition as a late effect of a previous illness or injury.
Code category I69* (Sequelae of cerebrovascular disease) specifies the type of stroke that caused the sequelae (late effect) as well as the residual condition itself.
I69. 398 - Other sequelae of cerebral infarction | ICD-10-CM.
Coding Guidelines Residual neurological effects of a stroke or cerebrovascular accident (CVA) should be documented using CPT category I69 codes indicating sequelae of cerebrovascular disease. Codes I60-67 specify hemiplegia, hemiparesis, and monoplegia and identify whether the dominant or nondominant side is affected.
438.82 - Other late effects of cerebrovascular disease, dysphagia | ICD-10-CM.
Sequela (Late Effects) A sequela is the residual effect (condition produced) after the acute phase of an illness or injury has terminated. There is no time limit on when a sequela code can be used.
Sequelae are residual effects or conditions produced after the acute phase of an illness or injury has ended. Therefore there is no time limit on when a sequela code can be assigned.
Hemiparesis is a mild or partial weakness or loss of strength on one side of the body. Hemiplegia is a severe or complete loss of strength or paralysis on one side of the body. The difference between the two conditions primarily lies in severity.
I69. 354 - Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side | ICD-10-CM.
A late effect condition can appear immediately after an illness or injury, months after, or in some cases, years later. To report a late effect condition, you'll usually use two codes: One for the residual condition (e.g., scar), and another to identify the condition as a late effect of a previous illness or injury.
Cerebral Infarction (Sequela) Hemiplegia is defined as paralysis of partial or total body function on one side of the body, whereas hemiparesis is characterized by one‐sided weakness, but without complete paralysis.
ICD-10 code R47. 89 for Other speech disturbances is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Your stroke may cause a swallowing disorder called dysphagia. If not identified and managed, it can lead to poor nutrition, pneumonia and disability. Aspiration is a common problem for people with dysphagia. It occurs when something you've swallowed enters the airway and lungs.
Cerebral Infarction (Sequela) Hemiplegia is defined as paralysis of partial or total body function on one side of the body, whereas hemiparesis is characterized by one‐sided weakness, but without complete paralysis.
ICD-10 code I69. 351 for Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Coding conventions require the condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a “code first” note with the manifestation code and a “use additional code” note with the etiology code in ICD-10.
A cerebral infarction (also known as a stroke) refers to damage to tissues in the brain due to a loss of oxygen to the area. The mention of "arteriosclerotic cerebrovascular disease" refers to arteriosclerosis, or "hardening of the arteries" that supply oxygen-containing blood to the brain.
The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
438.21 is a legacy non-billable code used to specify a medical diagnosis of late effects of cerebrovascular disease, hemiplegia affecting dominant side. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
438.0 is a legacy non-billable code used to specify a medical diagnosis of late effects of cerebrovascular disease, cognitive deficits. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
References found for the code 438.0 in the Index of Diseases and Injuries:
A stroke is a medical emergency. Strokes happen when blood flow to your brain stops. Within minutes, brain cells begin to die. There are two kinds of stroke. The more common kind, called ischemic stroke, is caused by a blood clot that blocks or plugs a blood vessel in the brain.
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
The first three code digits indicate a late effect , and the fourth and fifth digits indicate the residual condition. The guidelines also explain that it’s acceptable to use both a CVA code and a late effect code if the patient has another acute episode while having residual effects from a previous CVA.
By Brenda Palmer, CPC, CPC-I, CEMC, CASC#N#Coding for a late effect condition requires three important steps: 1 Understanding what a “late effect” is; 2 Understanding the ICD-9-CM guidelines for coding late effects; and 3 Thoroughly reviewing the patient’s record to gather all the information necessary to select the appropriate code.
In other words, it’s the condition “left over” or caused by the original illness or injury. For example, brain damage caused by a head injury is a late effect, as is a painful scar following a laceration, or sterility in a young man after a case of mumps. Follow Coding Guidelines.
Optionally, you may assign an E code for late effect conditions of this nature . You also may use a late effect code for a previous burn with the current burn code. Firefighters come to mind with this rule: They can suffer burns with contracture and get a new burn at any time fighting additional fires.