Cerebral infarction/stroke due to embolism: Difference between revisions

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m Text replacement - "Hemorrhage, due to anticoagulant drugs" to "Hemorrhage, due to anticoagulant or thrombolytic drug"
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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 (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 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.
*For '''thrombosis''' of a cerebral artery (not embolic), use '''[[Cerebral infarction/stroke, NOS]]'''.
*If the embolic stroke spontaneously '''"transforms" and bleeds''', then COMBINE it with the appropriate code for the hemorrhage (see below).
*If the 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]]''' as 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 11:15, 2 October 2019

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.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • I63.4
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Additional Info

  • This code is for cerebral ischemia/stroke due to an embolism (including cardioembolic) to a cerebral artery.


  • For thrombosis of a cerebral artery (not embolic), use Cerebral infarction/stroke, NOS.
  • If the embolic stroke spontaneously "transforms" and bleeds, then COMBINE it with the appropriate code for the hemorrhage (see below).
  • If the 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 as a complication of treatment, not a complication of the stroke per se.

Alternate ICD10s to consider coding instead or in addition

Arterial thromboembolism codes:
Cerebral Hemorrhage/Stroke codes:

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 strokeCCMDB.accdbdeclined

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