ICH 2nd to other causes: Difference between revisions

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There is no single ICD10 code for hemorrhagic transformation of in initially ischemic stroke. Code both the ischemic stroke (either as [[Cerebral infarction/stroke due to embolism]] or [[Cerebral infarction/stroke, NOS]] '''AND''' combine that code with the appropriate code for the [[:Category:Cerebral Hemorrhage/Stroke]].

If hemorrhage is seen post tPa in thrombic CVas-my premise has been if there are changes in their GCS and/or cerebral edema requiring intervention then I code as a comp related to anticoagulation ([[Complication of anticoagulation therapy]]) otherwise I do not capture-the neuro notes are usually pretty clear regarding the follow-up CTs done where these occur. In this scenario in ICD10, if the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then indeed 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.

If hemorrhage is seen post tPa in thrombic CVas-my premise has been if there are changes in their GCS and/or cerebral edema requiring intervention then I code as a comp related to anticoagulation ([[Complication of anticoagulation therapy]]) otherwise I do not capture-the neuro notes are usually pretty clear regarding the follow-up CTs done where these occur. In this scenario in ICD10, if the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then indeed 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.

Revision as of 16:55, 20 June 2018 view source Ttenbergen (talk \| contribs) CCMDB_legit, admin, approved, Bureaucrats, Interface administrators, Administrators (Semantic MediaWiki), Curators (Semantic MediaWiki), Administrators 92,362 edits sp ← Older edit		Revision as of 21:42, 28 November 2018 view source Ttenbergen (talk \| contribs) CCMDB_legit, admin, approved, Bureaucrats, Interface administrators, Administrators (Semantic MediaWiki), Curators (Semantic MediaWiki), Administrators 92,362 edits m Text replacement - "Hemorrhage, due to anticoagulant drugs" to "Hemorrhage, due to anticoagulant or thrombolytic drug" Newer edit →
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	There is no single ICD10 code for hemorrhagic transformation of in initially ischemic stroke. Code both the ischemic stroke (either as [[Cerebral infarction/stroke due to embolism]] or [[Cerebral infarction/stroke, NOS]] '''AND''' combine that code with the appropriate code for the [[:Category:Cerebral Hemorrhage/Stroke]].		There is no single ICD10 code for hemorrhagic transformation of in initially ischemic stroke. Code both the ischemic stroke (either as [[Cerebral infarction/stroke due to embolism]] or [[Cerebral infarction/stroke, NOS]] '''AND''' combine that code with the appropriate code for the [[:Category:Cerebral Hemorrhage/Stroke]].

	If hemorrhage is seen post tPa in thrombic CVas-my premise has been if there are changes in their GCS and/or cerebral edema requiring intervention then I code as a comp related to anticoagulation ([[Complication of anticoagulation therapy]]) otherwise I do not capture-the neuro notes are usually pretty clear regarding the follow-up CTs done where these occur. In this scenario in ICD10, if the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then indeed 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.		If hemorrhage is seen post tPa in thrombic CVas-my premise has been if there are changes in their GCS and/or cerebral edema requiring intervention then I code as a comp related to anticoagulation ([[Complication of anticoagulation therapy]]) otherwise I do not capture-the neuro notes are usually pretty clear regarding the follow-up CTs done where these occur. In this scenario in ICD10, if the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then indeed 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.