Cerebral infarction/stroke, NOS: Difference between revisions

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== Additional Info ==
== 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.
*This code is for '''cerebral ischemia/stroke due to thrombosis''' of a cerebral artery (not embolic).
**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)
*If the ischemic stroke is '''embolic''' (including cardioembolic), use '''[[Cerebral infarction/stroke due to embolism]]'''.
**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.
*If a stroke is '''not specified''' as hemorrhage or infarction, use '''[[Stroke, NOS]]'''.
*If the ischemic stroke due to thrombosis 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 11:36, 2 October 2019

ICD10 Diagnosis
Dx: Cerebral infarction/stroke, NOS
ICD10 code: I63.9
Pre-ICD10 counterpart: Cerebral Infarct Cause NYD
Charlson/ALERT Scale: Cerebrovascular disease
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.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • I63.9
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Additional Info

  • This code is for cerebral ischemia/stroke due to thrombosis of a cerebral artery (not embolic).


  • If the ischemic stroke is embolic (including cardioembolic), use Cerebral infarction/stroke due to embolism.
  • If a stroke is not specified as hemorrhage or infarction, use Stroke, NOS.
  • If the ischemic stroke due to thrombosis 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

Cerebral Hemorrhage/Stroke codes:

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 strokeCCMDB.accdbdeclined

Related Articles

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