It is not a deficit of the CVA until after the acute CVA is over. In other words some can have an acute CVA with acute issue that all resolve quickly. However if the condition does not resolve and is not going to resolve prior to discharge and the patient is stable enough for discharge then the remaining deficits are late effects.
The code comes up 438.20 and tabular confirms Hemiplegia/hemipararesis (Late effect of CVA). You must log in or register to reply here.
Short description: Hemiplga following cerebral infrc affecting left nondom side The 2021 edition of ICD-10-CM I69.354 became effective on October 1, 2020. This is the American ICD-10-CM version of I69.354 - other international versions of ICD-10 I69.354 may differ. The following code (s) above I69.354 contain annotation back-references
The 2021 edition of ICD-10-CM I69.351 became effective on October 1, 2020. This is the American ICD-10-CM version of I69.351 - other international versions of ICD-10 I69.351 may differ. Type 2 Excludes transient ischemic attack (TIA) (
Cognitive deficits following cerebral infarction The 2022 edition of ICD-10-CM I69. 31 became effective on October 1, 2021. This is the American ICD-10-CM version of I69. 31 - other international versions of ICD-10 I69.
If a physician clearly documents that a patient is being seen who has a history of cerebrovascular disease or accident with residual effects, a code from category I69* should be assigned.
Z86. 73 - Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits | ICD-10-CM.
2022 ICD-10-CM Diagnosis Code Z86. 73: Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits.
Right hemisphere stroke survivors themselves reported few residual deficits, but equally common were: fatigue, left-sided weakness, problems with mood, reading, writing, memory, and sexual function (with symptoms in each of these domains rated as important/moderate problem by 21% of right hemisphere stroke survivors).
ICD-10-CM Code for Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side I69. 354.
A cerebral infarction (ICD-9-CM code 434.91), also called a stroke or cerebrovascular accident (CVA), occurs when the blood supply to a part of the brain is slowed or interrupted and brain tissue is deprived of oxygen and nutrients, causing cells to die.
When to code Sequela. Seventh character 'S' is used for coding “complication or condition that arise for the direct result of the injury such as scar formation after a burn”. The scars are sequela of the burn. Sequelas are late effects of an injury.
ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.
Sequelae of Cerebrovascular disease. Category I69 is used to indicate conditions classifiable to categories I60-I67 as the causes of sequela (neurologic deficits), themselves classified elsewhere. These “late effects” include.
It is not a deficit of the CVA until after the acute CVA is over. In other words some can have an acute CVA with acute issue that all resolve quickly. However if the condition does not resolve and is not going to resolve prior to discharge and the patient is stable enough for discharge then the remaining deficits are late effects.