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. | ||
**If the ischemic stroke was not embolic, then instead use code '''[[Cerebral infarction/stroke, NOS]]'''. | **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]]'''. | ||
*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). | *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. | **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. | ||
Revision as of 06:40, 28 November 2018
| 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.
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Is it right to put this into both arterial and venous thromboembolism? |
Additional Info
- 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.
- 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
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Is it right to put both arterial and venous thromboembolism? |
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 |
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