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ICH 2nd to other causes: Difference between revisions

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{{DX tag | Neurological Problem  | Medical Problem | Intracerebral hemorrhage | [[:Category: ICH|ICH]] 2nd to other cuases | 50290 - ICH 2nd to other causes | No | 0 | CC & Med | Currently Collected |  | }}
{{DX tag | Neurological Problem  | Medical Problem | Intracerebral hemorrhage | ICH 2nd to other cuases | 50290 - ICH 2nd to other causes | No | 0 | CC & Med | Currently Collected |  | }}


ICH - Intra-cerebral hemorrage /intracerebral hemorrage
ICH - Intra-cerebral hemorrage /intracerebral hemorrage
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coding 50290 ''with'' a subcode 90 is the same as coding 50200'' without'' a subcode.  (other cause or unknown cause.  
coding 50290 ''with'' a subcode 90 is the same as coding 50200'' without'' a subcode.  (other cause or unknown cause.  


== hemorrhagic transformation? ==
== Could we use this course for "hemorrhagic transformation"? ==
{{DiscussAllan | Could we use this course for "hemorrhagic transformation"? And I suppose, could we use whatever it's ICD10 counterpart for it? }}
We will not address at this time whether the old code should have been used for this.  
*AG REPLY -- There is no single ICD10 code for hemorrhagic transformation of in initially ischemic stroke.  Instead, what should be done is:  Code both the ischemic stroke (either as [[Cerebral infarction/stroke due to embolism]] or [[Cerebral infarction/stroke, NOS]] '''AND''' combine that code with the appropriate code for the nontraumatic intracerebral hemorrhage.


The following information has already been integrated into the ICD10 pages, so see there for detail or up-to-date info.


*If you have a patient who has had a CVA, who on a follow up CT has "hemorrhagic transformation", would you use this code? The hemorrhage didn't appear to cause symptoms, however ASA was held as a result. Would this even warrant coding?[[User:Mlagadi|Mlagadi]] 15:32, 2017 April 11 (CDT)
There is no single ICD10 code for hemorrhagic transformation of in initially ischemic stroke. Code both the ischemic stroke (either as [[Cerebral infarction/stroke due to embolism]] or [[Cerebral infarction/stroke, NOS]] '''AND''' combine that code with the appropriate code for the [[:Category:Cerebral Hemorrhage/Stroke]].
**AG REPLY -- this current article is not an ICD10 code. There is no single ICD10 code for hemorrhagic transformation of in initially ischemic stroke. Instead, what should be done is:  Code both the ischemic stroke (either as [[Cerebral infarction/stroke due to embolism]] or [[Cerebral infarction/stroke, NOS]] '''AND''' combine that code with the appropriate code for the nontraumatic intracerebral hemorrhage.  


**We see these results not uncommonly in H4H at HSC post tPa in thrombic CVas-my premise has been if there are changes in their GCS and/or cerebral edema requiring intervention then I code as a comp related to anticoagulation ([[Complication of anticoagulation therapy]]) otherwise I do not capture-the neuro notes are usually pretty clear regarding the follow-up CTs done where these occur.--[[User:Llemoine|Llemoine]] 08:00, 2017 April 13 (CDT)
If hemorrhage is seen post tPa in thrombic CVas-my premise has been if there are changes in their GCS and/or cerebral edema requiring intervention then I code as a comp related to anticoagulation ([[Complication of anticoagulation therapy]]) otherwise I do not capture-the neuro notes are usually pretty clear regarding the follow-up CTs done where these occur. In this scenario in ICD10, if the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then indeed the hemorrhage should be coded as '''[[Hemorrhage, due to anticoagulant or thrombolytic drug]]''' since it's not a spontaneous hemorrhagic transformation, and thus is a complication of treatment, not a complication of the stroke per se.
***AG REPLY --- if the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then indeed the hemorrhage should be coded as '''[[Hemorrhage, due to anticoagulant drugs]]''' since it's not a spontaneous hemorrhagic transformation, and thus is a complication of treatment, not a complication of the stroke per se.




[[Category:ICH]]
[[Category:ICH (old)]]
[[Category:Diagnosis Coding]]
[[Category:Neurological Problem]]
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