Cerebral infarction/stroke, NOS: Difference between revisions
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Ttenbergen (talk | contribs) m Text replacement - "Hemorrhage, due to anticoagulant drugs" to "Hemorrhage, due to anticoagulant or thrombolytic drug" |
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**Don't confuse it with '''[[Stroke, NOS]]''' which is "NOS" in that it refers to a stroke for which is not specified as hemorrhage or infarction. | **Don't confuse it with '''[[Stroke, NOS]]''' which is "NOS" in that it refers to a stroke for which is not specified as hemorrhage or infarction. | ||
*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 | **However, if 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]]''' 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 22:42, 28 November 2018
| ICD10 Diagnosis | |
| Dx: | Cerebral infarction/stroke, NOS |
| ICD10 code: | I63.9 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| 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
- This code is "NOS" in by virtue of being an ischemic stroke that is not embolic -- e.g. the more common mechanism of in situ thrombosis of a cerebral artery.
- Thus, if the ischemic stroke is embolic (including cardioembolic) then instead of this code, use Cerebral infarction/stroke due to embolism.
- Don't confuse it with Stroke, NOS which is "NOS" in that it refers to a stroke for which is not specified as hemorrhage or infarction.
- 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 or thrombolytic drug 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
| Cerebral Hemorrhage/Stroke codes: |
- 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)
none found
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