Cerebral infarction/stroke due to embolism: Difference between revisions

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{{ICD10 dx

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== Additional Info ==

*This code is for cerebral ischemia/stroke due to an embolism (including cardioembolic) to a cerebral artery.

*This code is for '''cerebral ischemia/stroke due to an embolism''' (including cardioembolic) to a cerebral artery.

**~~If the ischemic~~ stroke ~~was not embolic (e.g. it was due to in situ~~ thrombosis of a cerebral artery), ~~then instead~~ use ~~code~~ '''[[Cerebral infarction/stroke, NOS]]'''.

'''Includes'''

*If ~~this code occurs, and then~~ the ~~initially ischemic~~ stroke spontaneously "transforms" and bleeds, then COMBINE ~~this code~~ with the appropriate code for the hemorrhage (see below).

* Atheroembolism

**However, if hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then 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.

* Cryptogenic embolic stroke

* Septic emboli combine with [[Septic Thrombosis or Embolism, NOS]]

For '''thrombosis''' of a cerebral artery (not embolic), use '''[[Cerebral infarction/stroke, NOS]]'''.

*If the embolic stroke spontaneously '''"transforms" and bleeds''', then COMBINE it with the appropriate code for the hemorrhage (see below).

*If the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then the hemorrhage should be coded as '''[[Hemorrhage, due to anticoagulant or thrombolytic drug]]''' as a complication of treatment, not a complication of the stroke per se.

=== Comorbid Rule exception ===

== Alternate ICD10s to consider coding instead or in addition ==

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 {{ICD10 dx
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 == Additional Info ==
-*This code is for cerebral ischemia/stroke due to an embolism (including cardioembolic) to a cerebral artery.
+*This code is for '''cerebral ischemia/stroke due to an embolism''' (including cardioembolic) to a cerebral artery.
-**If the ischemic stroke was not embolic (e.g. it was due to in situ thrombosis of a cerebral artery), then instead use code '''[[Cerebral infarction/stroke, NOS]]'''.
+'''Includes'''
-*If this code occurs, and then the initially ischemic stroke spontaneously "transforms" and bleeds, then COMBINE this code with the appropriate code for the hemorrhage (see below).
+* Atheroembolism
-**However, if hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then 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.
+* Cryptogenic embolic stroke
+* Septic emboli combine with [[Septic Thrombosis or Embolism, NOS]]
+For '''thrombosis''' of a cerebral artery (not embolic), use '''[[Cerebral infarction/stroke, NOS]]'''.
+*If the embolic stroke spontaneously '''"transforms" and bleeds''', then COMBINE it with the appropriate code for the hemorrhage (see below).
+*If the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then the hemorrhage should be coded as '''[[Hemorrhage, due to anticoagulant or thrombolytic drug]]''' as a complication of treatment, not a complication of the stroke per se.
+=== Comorbid Rule exception ===
+{{ICD10 Guideline Stroke resolved exception}}
 == Alternate ICD10s to consider coding instead or in addition ==