Cerebral infarction/stroke, NOS: Difference between revisions
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== Additional Info == | == Additional Info == | ||
*If this occurs, and then the initially ischemic stroke spontaneously "transforms" and bleeds, then COMBINE this code with the appropriate code for the hemorrhage (see below) | *If the ischemic stroke is embolic (including cardioembolic) then instead of this code, use '''[[Cerebral infarction/stroke due to embolism]]'''. | ||
*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) | |||
**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. | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
Revision as of 16:22, 7 April 2018
| 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: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- If the ischemic stroke is embolic (including cardioembolic) then instead of this code, use Cerebral infarction/stroke due to embolism.
- 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)
- 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.
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
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