Cerebral infarction/stroke, NOS: Difference between revisions
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| OldDxArticle =Cerebral Infarct Cause NYD | | OldDxArticle =Cerebral Infarct Cause NYD | ||
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{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=I63.9 | | ICD10 Code=I63.9 | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category|Cardiovascular}}{{ICD10 category|Neuro}}{{ICD10 category|Cerebral Hemorrhage/Stroke}} | {{ICD10 category|Cardiovascular}}{{ICD10 category|Arterial thromboembolism}}{{ICD10 category|Neuro}}{{ICD10 category|Cerebral Hemorrhage/Stroke}} | ||
== Additional Info == | == Additional Info == | ||
*This code is for '''cerebral ischemia/stroke due to thrombosis''' of a cerebral artery (not embolic). | |||
'''Includes''' | |||
* Lacunar infarcts on old imaging or documentation | |||
*If the ischemic stroke due to thrombosis 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 [[Iatrogenic, complication of medical or surgical care NOS]] not a complication of the stroke per se. | |||
'''Excludes''' | |||
*If the ischemic stroke is '''embolic''' (including cardioembolic), use '''[[Cerebral infarction/stroke due to embolism]]'''. | |||
*If a stroke is '''not specified''' as hemorrhagic, embolic or ishemic, use '''[[Stroke, NOS]]'''. | |||
=== 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 == | ||
{{ListICD10Category | categoryName = Cerebral Hemorrhage/Stroke}} | {{ListICD10Category | categoryName = Cerebral Hemorrhage/Stroke}} | ||
*[[Stroke, NOS]] | |||
*[[Hemorrhage, subarachnoid or ruptured cerebral aneurysm]] | |||
*[[Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke)]] | |||
*[[Subdural or epidural hematoma/hemorrhage, nontraumatic]] | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 12:10, 1 August 2024
| ICD10 Diagnosis | |
| Dx: | Cerebral infarction/stroke, NOS |
| ICD10 code: | I63.9 |
| Pre-ICD10 counterpart: | Cerebral Infarct Cause NYD |
| 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 thrombosis of a cerebral artery (not embolic).
Includes
- Lacunar infarcts on old imaging or documentation
- If the ischemic stroke due to thrombosis 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 Iatrogenic, complication of medical or surgical care NOS not a complication of the stroke per se.
Excludes
- If the ischemic stroke is embolic (including cardioembolic), use Cerebral infarction/stroke due to embolism.
- If a stroke is not specified as hemorrhagic, embolic or ishemic, use Stroke, NOS.
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
- Stroke, NOS
- Hemorrhage, subarachnoid or ruptured cerebral aneurysm
- Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke)
- Subdural or epidural hematoma/hemorrhage, nontraumatic
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check ICD10 stroke | CCMDB.accdb | declined |
Related Articles
Show all ICD10 Subcategories