CVA-Cerebral Vascular Accident: Difference between revisions

Revision as of 21:37, 2018 December 30

Strokes

Causes

Iatrogenic codes:
Acetaminophen (tylenol, paracematol), adverse effect Adrenal insufficiency, drug-induced (i.e. due to steroid administration) Anesthetic gas, adverse effect Anti-arrhythmic, adverse effect Anti-arrhythmic, overdose/toxicity Antibiotic/antimicrobial, adverse effect Antibiotic/antimicrobial, overdose/toxicity Anticoagulant, adverse effect Anticoagulant, overdose/toxicity Antidepressant drug NOS, adverse effect Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity Antiseizure drug NOS, adverse effect Antiseizure drug NOS, overdose/toxicity Aspirin or other salicylate or NSAID, adverse effect Benzodiazepine, adverse effect Bone marrow transplant, failure or rejection Calcium channel blocker drug, adverse effect Cardiac/cardiovascular drug NOS, adverse effect Cardiac/cardiovascular drug NOS, overdose/toxicity Cerebrospinal fluid (CSF) leak Complication associated with artificial fertilization, NOS Complication of anesthesia, NOS Cushing's syndrome, drug-induced Decubitus (pressure) ulcer, Stage I (surface reddening) Decubitus (pressure) ulcer, Stage II (to fascia, just under skin) Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle) Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone) Decubitus (pressure) ulcer, stage not indicated Drug or biological substance/agent NOS, adverse effect Failed/difficult intubation, or complication of intubation Graft-versus-host disease/reaction (GVHD) Hallucinogen, adverse effect Heart transplant, failure or rejection or unspecified complication Heart-lung transplant, failure or rejection or unspecified complication Hemorrhage, due to anticoagulant or thrombolytic drug Heparin-induced thrombocytopenia (HIT) Hormone or hormone agonist NOS, overdose/toxicity Hormone or hormone agonist drug, adverse effect Hypotension, drug-induced Iatrogenic problem NOS, related to a surgery or procedure, NOS Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection Iatrogenic, complication NOS, cardiac or vascular prosthetic device or implant or graft Iatrogenic, complication of medical or surgical care NOS Iatrogenic, dehiscence or rupture or disruption, surgical wound NOS Iatrogenic, hemorrhage or hematoma, related to a procedure or surgery NOS Iatrogenic, hypotension/shock, postoperative/post-procedural Iatrogenic, infection, cardiac or vascular prosthetic device or implant or graft NOS Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) Iatrogenic, infection, following a procedure or surgery, NOS Iatrogenic, infection, heart valve prosthesis (incl prosthetic valve endocarditis) Iatrogenic, infection, internal orthopedic prosthetic device or implant or graft or bone device Iatrogenic, infection, internal prosthetic device or implant or graft NOS Iatrogenic, infection, related to vascular access other than central line Iatrogenic, infection, urinary catheter Iatrogenic, malignant hyperthermia, due to anesthesia Iatrogenic, mechanical complication/dysfunction, cardiac electronic device Iatrogenic, mechanical complication/dysfunction, cardiac or vascular prosthetic device or implant or graft, NOS Iatrogenic, mechanical complication/dysfunction, dialysis catheter Iatrogenic, mechanical complication/dysfunction, heart valve prosthesis Iatrogenic, mechanical complication/dysfunction, internal orthopedic prosthetic device or implant or graft or bone device Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS Iatrogenic, mechanical complication/dysfunction, urinary catheter Iatrogenic, puncture or laceration, related to a procedure or surgery NOS Iatrogenic, thromboembolism, as complication of line/infusion/transfusion/injection Iatrogenic, transfusion reaction (incompatibility reaction) (any type) Insulin or antidiabetic drug, adverse effect Liver transplant, failure or rejection or unspecified complication Lung transplant, failure or rejection or unspecified complication Neuropathy, peripheral, drug-induced Nosocomial infection, NOS Opioid/narcotic, adverse effect Pancreas transplant, failure or rejection or unspecified complication Pneumonia, ventilator-associated (VAP) Psychiatric drug NOS, adverse effect Psychiatric drug NOS, overdose/toxicity Rib fracture(s) due to CPR Sedative or hypnotic, adverse effect Skin rash, drug-induced (drug eruption) Stimulants incl. methamphetamine, poisoning Subglottic (tracheal) stenosis or tracheomalacia, iatrogenic Thrombolytic drug, adverse effect Thrombolytic drug, overdose/toxicity Transfusion-related acute lung injury (TRALI, form of ARDS) Transplanted organ NOS, failure or rejection or unspecified complication Tricyclic antidepressant, adverse effect Xray contrast agent, adverse effect

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Cerebral infarction/stroke, NOS, Cerebral infarction/stroke due to embolism, Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke), Stroke, NOS, Subdural or epidural hematoma/hemorrhage, nontraumatic, Hemorrhage, subarachnoid or ruptured cerebral aneurysm

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edit dx infobox
Category/Organ System:	Category: Neurological Problem (old)
Type:	Category: Medical Problem (old)
Main Diagnosis:	CVA-Cerebral Vascular Accident
Sub Diagnosis:	Yes
Diagnosis Code:	50500 - CVA-Cerebral Vascular Accident 50501 - CVA Post Angiogram 50502 - CVA Post OP 50503 - CVA Post Trauma 50504 - CVA Post Anticoagulation TX (STK, TPA, TNK, HEP) 50505 - CVA Intra OP 50506 - CVA Post Partum 50507 - CVA-Cerebral Venous Thrombosis 50508 - CVA-Brainstem 50590 - CVA 2nd to OTHER
Comorbid Diagnosis:	Yes see: Comorbid Diagnosis
Charlson Comorbid coding (pre ICD10):	1
Program:	CC & Med
Status:	Currently Collected

CVA (Cerebral Vascular Accident, Stroke).

A CVA can be due to ischemia caused by blockage (ARTERIAL thrombosis, ARTERIAL embolism), or a hemorrhage. Diagnostic imaging can identify the cause.

See also Other Cerebral Infarct Cause NYD

Coding Instructions

Don't code with Paraplegia, Hemiplegia

According to previous content of Category:Paralysis (old) this code is not supposed to result in coding Paraplegia, Hemiplegia. Template:Discussion what does that even mean? Ttenbergen 17:04, 2018 April 2 (CDT)

Co-code with TPA if applicable

Don't forget to code Thrombolytic Infusion (STROKE) if TPA actually administered to the patient in the ER prior to coming to your unit or while if given while in your unit.

Question: cause vs outcome

Template:Discussion

Are we concerned more with causes or diagnostic codes for CVA or the physiological outcome? Many CVAs have temporary weakness resolved post t Pa-versus dense hemi-paresis and as mentioned above diaphragmatic impacts-perhaps sub-coding is not so irrelevant when looking at patient rehab requirements or long-term care dispositions?--Llemoine 08:12, 2016 October 7 (CDT)
- Are you asking about how you might change coding? I don't understand where you are going... Ttenbergen 14:54, 2016 October 12 (CDT)

CVA secondary to Arterial blockage

If a patient is coming in with a CVA secondary to an arterial blockage code as 50500 -CVA-Cerebral Vascular Accident. Do not code this as a venous CVA.

Incidental findings of OLD lacunar infarcts

Dan Roberts:Incidental findings of “old lacunar infarct” on CT will continue to be included as COMORBID diagnosis. Staff have been including them as comorbids, if we stop including then this will affect the overstay project that is currently being piloted at the Grace and will eventually be done at other sites in the Region. -Trish Ostryzniuk 10:52, 2012 September 14 (CDT)

Legacy

Wording changed for 50507 to cerebral venous thrombosis to include all cerebral venous thrombosis. Discussed at the task meeting August 21,2014. http://emedicine.medscape.com/article/1162804-overview

@@ Line 10: / Line 10: @@
 {{ListICD10Category | categoryName = Iatrogenic}}
-{{DX tag | Neurological Problemal Problem | Medical Problem | CVA-Cerebral Vascular Accident | Yes |
+{{DX tag | Neurological Problem | Medical Problem | CVA-Cerebral Vascular Accident | Yes |
 * 50500 - CVA-Cerebral Vascular Accident
 * 50501 - CVA Post Angiogram

CVA-Cerebral Vascular Accident: Difference between revisions

Revision as of 21:37, 2018 December 30

Legacy Content

Contents

Coding Instructions

Don't code with Paraplegia, Hemiplegia

Co-code with TPA if applicable

Question: cause vs outcome

CVA secondary to Arterial blockage

Incidental findings of OLD lacunar infarcts

Legacy

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CVA-Cerebral Vascular Accident: Difference between revisions

Revision as of 21:37, 2018 December 30

Legacy Content

Coding Instructions

Don't code with Paraplegia, Hemiplegia

Co-code with TPA if applicable

Question: cause vs outcome

CVA secondary to Arterial blockage

Incidental findings of OLD lacunar infarcts

Legacy

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