When a patient has a history of cerebrovascular disease
Occurs when the supply of blood to the brain is reduced or blocked completely.
ICD-10-CM CATEGORY CODE RANGE SPECIFIC CONDITION ICD-10 CODE Diseases of the Circulatory System I00 –I99 Essential hypertension I10 Unspecified atrial fibrillation I48.91 Diseases of the Respiratory System J00 –J99 Acute pharyngitis, NOS J02.9 Acute upper respiratory infection J06._ Acute bronchitis, *,unspecified J20.9 Vasomotor rhinitis J30.0
The World Health Organization (WHO) is revising the ICD-10 classification of mental and behavioural disorders, under the leadership of the Department of Mental Health and Substance Abuse and within the framework of the overall revision framework as ...
Residuals like obvious physical paralysis, slurred speech, mobility and/or balance problems that require you to use a wheelchair, walker or walking stick are conspicuous to others. On the other hand, maybe your leftovers are not evident, invisible to friends and family alike.
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.
ICD-10-CM Code for Sequelae of cerebral infarction I69. 3.
The codes under I69, Sequelae of Cerebrovascular disease, would be used and with greater specificity such as type of CVA and type of late effect, coders can assign the appropriate code. An example would be I69. 159, Hemiplegia and hemiparesis following non-traumatic intracerebral hemorrhage affecting unspecified side.
73 for Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
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.
History of Stroke (ICD-10 code Z86. 73) should be used when the patient is being seen in an out patient setting subsequent to an inpatient stay. In addition, this code should be used when the patient does not exhibit neurologic deficits due to cerebrovascular disease (i.e., no late effects due to stroke).
Residual symptoms after transient ischaemic attack (TIA) The symptoms of a TIA are similar to that of stroke, but they may only last a short while, certainly no more than 24 hours. If symptoms last longer than 24 hours but are mild usually this would be defined as a 'minor stroke'.
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.
loss of cognitive functions. partial paralysis in some limbs. speech difficulties. memory loss.
ICD-10-CM Code for Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side I69. 354.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
Category I69 is to be used to indicate conditions in I60 - I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition. Type 1 Excludes.
In the encoder I put late/effect/CVA/hemiplegia/ unspecified (because it doesn't say whether left side was dominant or not. The code comes up 438.20 and tabular confirms Hemiplegia/hemipararesis (Late effect of CVA).
Go with 438.89. Look at the tip under 438.89 in the ICD-9 expert. Use 728.87 as your secondary code for residual weakness due to CVA.