Cerebral infarction/stroke due to embolism: Difference between revisions

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{{ICD10 dx

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{{ICD10 category|Cardiovascular}}{{ICD10 category|Neuro}} {{ICD10 category|~~Embolism~~}}{{ICD10 category|~~Cerebral Hemorrhage/Stroke~~}}

{{ICD10 category|Cardiovascular}}{{ICD10 category|Neuro}}{{ICD10 category|Cerebral Hemorrhage/Stroke}}{{ICD10 category|Arterial thromboembolism}}

== Additional Info ==

*This code ~~includes~~ an ~~ischemic~~ cardioembolic ~~event~~.

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

*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).

'''Includes'''

**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.

* Atheroembolism

* 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 ==

~~for other embolisms:~~

~~for other strokes:~~

{{ListICD10Category | categoryName = Cerebral Hemorrhage/Stroke}}

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*[[Subdural or epidural hematoma/hemorrhage, nontraumatic]]

== Related CCI Codes ==

~~== Related CCI Codes ==~~

== Related Articles ==

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-{{ICD10 category|Cardiovascular}}{{ICD10 category|Neuro}} {{ICD10 category|Embolism}}{{ICD10 category|Cerebral Hemorrhage/Stroke}}
+{{ICD10 category|Cardiovascular}}{{ICD10 category|Neuro}}{{ICD10 category|Cerebral Hemorrhage/Stroke}}{{ICD10 category|Arterial thromboembolism}}
 == Additional Info ==
-*This code includes an ischemic cardioembolic event.
+*This code is for '''cerebral ischemia/stroke due to an embolism''' (including cardioembolic) to a cerebral artery.
-*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).
+'''Includes'''
-**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.
+* Atheroembolism
+* 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 ==
-for other embolisms:
+{{ListICD10Category | categoryName = Arterial thromboembolism}}
-{{ListICD10Category | categoryName = Embolism}}
-for other strokes:
 {{ListICD10Category | categoryName = Cerebral Hemorrhage/Stroke}}
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 *[[Subdural or epidural hematoma/hemorrhage, nontraumatic]]
+== Related CCI Codes ==
-== Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
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