View source for CVA-Cerebral Vascular Accident

{{DX tag | Neurological Problem | Medical Problem | CVA-Cerebral Vascular Accident | Yes | 
* 50500 -CVA-Cerebral Vascular Accident 
* 50501 - CVA Post Angiogram	
* 50502 - CVA Post OP	
* 50503 - CVA Post Trauma	
* 50504 - CVA Post Anticoagulation TX (STK, TPA, TNK, HEP)	
* 50505 - CVA Intra OP	
* 50506 - CVA Post Partum	
* 50507 - CVA-Cerebral Venous Thrombosis	
* 50508 - CVA-Brainstem	
* 50590 - [[CVA 2nd to OTHER]]	
| Yes see: [[:Category: Comorbid Diagnosis | Comorbid Diagnosis]] | 1 | CC & Med | Currently Collected |  | }}

[https://en.wikipedia.org/wiki/Stroke CVA (Cerebral Vascular Accident, Stroke)].

A CVA can be due to ischemia caused by blockage ('''ARTERIAL''' thrombosis, '''ARTERIAL''' embolism), or a hemorrhage. Diagnostic imaging can identify the cause.

See also Other [[Cerebral Infarct Cause NYD]]

== Coding Instructions ==
=== Co-code with TPA if applicable ===
Don't forget to code [[Thrombolytic Infusion (STROKE)]] if TPA actually administered to the patient in the ER prior to coming to your unit or while if given while in your unit.

=== Question: cause vs outcome ===
{{discussion}}
* Are we concerned more with causes or diagnostic codes for CVA or the physiological outcome? Many CVAs have temporary weakness resolved post t Pa-versus dense hemi-paresis and as mentioned above diaphragmatic impacts-perhaps sub-coding is not so irrelevant when looking at patient rehab requirements or long-term care dispositions?--[[User:Llemoine|Llemoine]] 08:12, 2016 October 7 (CDT)  
** Are you asking about how you might change coding? I don't understand where you are going...  Ttenbergen 14:54, 2016 October 12 (CDT)

=== CVA secondary to '''Arterial''' blockage ===
*If a patient is coming in with a CVA secondary to an '''arterial blockage''' code as 50500 -CVA-Cerebral Vascular Accident. Do '''not code this as a venous CVA'''.

=== Incidental findings of '''OLD ''' lacunar infarcts ===
*Dan Roberts:Incidental findings of “'''old lacunar infarct'''” on CT will '''continue to be included''' as '''COMORBID diagnosis'''.  Staff have been including them as comorbids, if we stop including then this will affect the [[overstay]] project that is currently being piloted at the Grace and will eventually be done at other sites in the Region. -[[User:TOstryzniuk|Trish Ostryzniuk]] 10:52, 2012 September 14 (CDT)

== Legacy ==
Wording changed for 50507 to cerebral venous thrombosis to include all cerebral venous thrombosis. Discussed at the task meeting August 21,2014.
http://emedicine.medscape.com/article/1162804-overview


[[Category: Stroke]]
[[Category:Charlson Comorbid Diagnosis]]
[[Category:Charlson - Cerebrovascular Disease]]