Cerebral infarction/stroke due to embolism: Difference between revisions
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== 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. | ||
** | '''Includes''' | ||
*If | * 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 == | == Alternate ICD10s to consider coding instead or in addition == | ||
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.
Additional Info
- This code is for cerebral ischemia/stroke due to an embolism (including cardioembolic) to a cerebral artery.
Includes
- 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
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
Candidate Combined ICD10 codes
- Hemorrhage, subarachnoid or ruptured cerebral aneurysm
- Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke)
- Subdural or epidural hematoma/hemorrhage, nontraumatic
Related CCI Codes
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check ICD10 stroke | CCMDB.accdb | declined |
Related Articles
Show all ICD10 Subcategories