CVA-Cerebral Vascular Accident: Difference between revisions

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{{DX tag | Neurological Problem | [[:Category: Medical Problem | Medical Problem]] | CVA-Cerebral Vascular Accident | Yes |
Strokes
* [[50500 -CVA-Cerebral Vascular Accident]]
{{PreICD10 dx | NewDxArticle = Cerebral infarction/stroke due to embolism}}
* [[50501 - CVA Post Angiogram]]
{{PreICD10 dx | NewDxArticle = Cerebral infarction/stroke, NOS}}
* [[50502 - CVA Post OP]]
{{PreICD10 dx | NewDxArticle = Stroke, NOS}}
* [[50503 - CVA Post Trauma]]
{{PreICD10 dx | NewDxArticle = Subdural or epidural hematoma/hemorrhage, nontraumatic}}
* [[50504 - CVA Post Anticoagulation TX (STK, TPA, TNK, HEP)]]
{{PreICD10 dx | NewDxArticle = Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke)}}
* [[50505 - CVA Intra OP]]
{{PreICD10 dx | NewDxArticle = Hemorrhage, subarachnoid or ruptured cerebral aneurysm}}  
* [[50506 - CVA Post Partum]]
* [[50507 - CVA-Superior Sagital Sinus]]
* [[50508 - CVA-Brainstem]]
* 50590 - [[CVA 2nd to OTHER Procedure]]
| Yes see: [[:Category: Comorbid Diagnosis | Comorbid Diagnosis]] | 1 | CC & Med | Currently Collected |  | }}


*also see Other [[Cerebral Infarct Cause NYD]]


This can be due to ischemia caused by blockage (thrombosis, arterial embolism), or a hemorrhage.Diagnostic imaging can identify the cause.
{{DX tag | Neurological Problem | Medical Problem | CVA-Cerebral Vascular Accident | Yes |
*We do not code paralysis or hemiplegia with the CVA.
* 50500 - CVA-Cerebral Vascular Accident
*We do not code CVA and deconditioning 2nd to CVA together in the admit diagnosis.
* 50501 - CVA Post Angiogram
*If the CVA is acute then put it in the admit diagnosis.
* 50502 - CVA Post OP
* If the patient came in to another unit with an acute CVA but then is transferred to your ward to recover use the code deconditioning secondary to CVA.
* 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 | 1 | CC & Med | Currently Collected |  | }}


'''{{Discussion}}'''
[https://en.wikipedia.org/wiki/Stroke CVA (Cerebral Vascular Accident, Stroke)].
Trish do you want to give us a time frame for acute CVA.? Let us know please.
*if admitted with a stroke, the DX stays as part of the admitting DX until patient is discharged from the hospital system in the Region.  It will be coded as a comorbid on the next new admission to a hospital system in the Region.  This is in following the same rule as for when does an ARF become CRF. --[[User:TOstryzniuk|TOstryzniuk]] 19:48, 2 December 2010 (CST)


[[Category: 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 ==
=== Don't code with [[Paraplegia, Hemiplegia]] ===
According to previous content of [[:Category:Paralysis (old)]] this code is not supposed to result in coding [[Paraplegia, Hemiplegia]]. ++Discussion++ what does that even mean? Ttenbergen 17:04, 2018 April 2 (CDT)
 
=== 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 (old)]]

Latest revision as of 16:06, 3 January 2019

Strokes





Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Cerebral infarction/stroke, NOS, Cerebral infarction/stroke due to embolism, Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke), Stroke, NOS, Subdural or epidural hematoma/hemorrhage, nontraumatic, Hemorrhage, subarachnoid or ruptured cerebral aneurysm

Click Expand to show legacy content.

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

Don't code with Paraplegia, Hemiplegia

According to previous content of Category:Paralysis (old) this code is not supposed to result in coding Paraplegia, Hemiplegia. ++Discussion++ what does that even mean? Ttenbergen 17:04, 2018 April 2 (CDT)

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?--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. -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

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