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|Cerebral Hemorrhage/Stroke}}  
{{ICD10 category|Cardiovascular}}{{ICD10 category|Neuro}}{{ICD10 category|Cerebral Hemorrhage/Stroke}}{{ICD10 category|Arterial thromboembolism}}
{{DA | Is it right to put this into both arterial and venous thromboembolism? }}
{{ICD10 category|Arterial thromboembolism}}{{ICD10 category|Venous thromboembolism}}


== Additional Info ==
== 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 ==
== Alternate ICD10s to consider coding instead or in addition ==
{{DA | Is it right to put both arterial and venous thromboembolism? }}
{{ListICD10Category | categoryName = Arterial thromboembolism}}
{{ListICD10Category | categoryName = Arterial thromboembolism}}
{{ListICD10Category | categoryName = Venous thromboembolism}}
{{ListICD10Category | categoryName = Cerebral Hemorrhage/Stroke}}
{{ListICD10Category | categoryName = Cerebral Hemorrhage/Stroke}}


Latest revision as of 06:26, 5 April 2024

ICD10 Diagnosis
Dx: Cerebral infarction/stroke due to embolism
ICD10 code: I63.4
Pre-ICD10 counterpart: none assigned
Charlson/ALERT Scale: Cerebrovascular disease
APACHE Como Component: none
APACHE Acute Component: none
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • I63.4
  • Cargo


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Additional Info

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

Includes

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

Regular comorbid rules exception: Strokes (of any sort, ischemic or hemorrhagic) -- code even resolved strokes with no current sequelae as comorbid diagnoses. If a patient has a past history of stroke, use the regular stroke codes to identify this, even if the patient does not have any residual deficits we will now capture ANY past history of stroke. This is contrary to the usual rules about Comorbid_Diagnosis#When_not_to_code_a_dx_at_all.

Alternate ICD10s to consider coding instead or in addition

Arterial thromboembolism codes:
Cerebral Hemorrhage/Stroke codes:

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 strokeCCMDB.accdbdeclined

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