CVA-Cerebral Vascular Accident: Difference between revisions

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{{DX tag | [[:Category: Neurological Problem | Neurological Problem]] | [[:Category: Medical Problem | Medical Problem]] | CVA-Cerebral Vascular Accident | Yes see: [[:Category:CVA-Cerebral Vascular Accident | CVA-CEREBRAL VASCULAR ACCIDENT]] | [[50500 -CVA-Cerebral Vascular Accident]] | Yes [[:Category: Comorbid Diagnosis | Comorbid Diagnosis]] | 1 | CC & Med | Currently Collected | | }}

{{DX tag | [[:Category: Neurological Problem | Neurological Problem]] | [[:Category: Medical Problem | Medical Problem]] | CVA-Cerebral Vascular Accident | Yes see: [[:Category:CVA-Cerebral Vascular Accident | CVA-CEREBRAL VASCULAR ACCIDENT]] | [[50500 -CVA-Cerebral Vascular Accident]] | Yes see: [[:Category: Comorbid Diagnosis | Comorbid Diagnosis]] | 1 | CC & Med | Currently Collected | | }}

'''Question''' re: coding for CVA. When admitting a patient with a diagnosis of cva (or other types of cerebral bleed for that matter), do you also include [[Paraplegia, Hemiplegia]] (#537) in your admit diagnosis list?[[User:DPageNewton|DPageNewton]] 21:06, 28 January 2010 (CST)

*I have been collecting on the unit that admits the stroke 25 patients+/- post tpa. If the patients are paralysed on one side because of the acute stroke I code it after putting CVA in the first spot. I have done it this way for the last 5 years.[[User:GHall|GHall]] 13:27, 1 February 2010 (CST)

**If a person comes in and has hemiplegia I will code it as a last priority, if the hemiplegia is caused from a result of the main insult it will become more of a priority. --[[User:PStein|PStein]] 07:59, 1 February 2010 (CST)

***I just code the CVA as this is the diagnosis. I use the [[Paraplegia, Hemiplegia]] code only if these conditions exist for another reason that is not otherwise clear in the diagnosis. --[[User:LKolesar|LKolesar]] 08:57, 1 February 2010 (CST)

****I totally agree with LKolesar... I code the CVA as this IS the Dx. I only use the [[Paraplegia, Hemiplegia]] codes in the como's if this is a pre-existing condition or DX if its secondary to another problem.--[[User:Wturner|Wturner]] 11:38, 1 February 2010 (CST)

*****Not all CVA's come in with [[Paraplegia, Hemiplegia]]. If it exists d/t CVA, I code it in.[[User:ENagy|ENagy]]

******I have been coding similar to Laura. --[[User:MWaschuk|MWaschuk]] 15:13, 1 February 2010 (CST)

*******I have been coding it the same as Gail .Shirley

********I code the same way as Laura. [[User:BDeVlaming|BDeVlaming]] 09:01, 2 February 2010 (CST)

*********I code the CVA and Hemiparesis if present. This gives a more complete picture of the CVA. How do the doctors want it coded?--[[User:FLindell|FLindell]] 17:02, 3 February 2010 (CST)

**********I code the CVA and then code [[Paraplegia, Hemiplegia]] if it occurs with the stroke. Lois

***********I code the same as Lois both in the comorbids and admit diagnosis[[User:TAngell|TAngell]] 10:00, 3 February 2010 (CST)

************I will code [[Paraplegia, Hemiplegia]] in co-mo's if they are existing. If the new dx. of cva also involves new hemi/paraplegia, I then code it in admits. If it is just a "weakness" associated with the new CVA, I do not code this as [[Paraplegia, Hemiplegia]].[[User:WGobert|gogogirl]] 10:11, 3 February 2010 (CST)

*************I have always coded CVA and if they have resultant [[Paraplegia, Hemiplegia]], I code that as well. I thought this gives a more complete capture of the CVA. How the doctors want it coded?--FLindell 14:21, 1 February 2010 (CST)

**************I code CVA for admit then [[Paraplegia, Hemiplegia]] as [[:Category: | Comorbid | Comorbid]] along with CVA next admission. I thought (perhaps incorrectly) that [[ADL]] could be an indicator of weakness affecting the patient.--CMarks 17:49, 3 February 2010 (CST)

~~==Discussion==~~

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-{{DX tag | [[:Category: Neurological Problem | Neurological Problem]] | [[:Category: Medical Problem | Medical Problem]] | CVA-Cerebral Vascular Accident | Yes see: [[:Category:CVA-Cerebral Vascular Accident | CVA-CEREBRAL VASCULAR ACCIDENT]] | [[50500 -CVA-Cerebral Vascular Accident]] | Yes [[:Category: Comorbid Diagnosis | Comorbid Diagnosis]] | 1 | CC & Med | Currently Collected |  | }}
+{{DX tag | [[:Category: Neurological Problem | Neurological Problem]] | [[:Category: Medical Problem | Medical Problem]] | CVA-Cerebral Vascular Accident | Yes see: [[:Category:CVA-Cerebral Vascular Accident | CVA-CEREBRAL VASCULAR ACCIDENT]] | [[50500 -CVA-Cerebral Vascular Accident]] | Yes see: [[:Category: Comorbid Diagnosis | Comorbid Diagnosis]] | 1 | CC & Med | Currently Collected |  | }}
+{{Discussion}}
+'''Question''' re: coding for CVA. When admitting a patient with a diagnosis of cva (or other types of cerebral bleed for that matter), do you also include [[Paraplegia, Hemiplegia]] (#537) in your admit diagnosis list?[[User:DPageNewton|DPageNewton]] 21:06, 28 January 2010 (CST)
+*I have been collecting on the unit that admits the stroke 25 patients+/- post tpa. If the patients are paralysed on one side because of the acute stroke I code it after putting CVA in the first spot. I have done it this way for the last 5 years.[[User:GHall|GHall]] 13:27, 1 February 2010 (CST)
+**If a person comes in and has hemiplegia I will code it as a last priority, if the hemiplegia is caused from a result of the main insult it will become more of a priority. --[[User:PStein|PStein]] 07:59, 1 February 2010 (CST)
+***I just code the CVA as this is the diagnosis.  I use the [[Paraplegia, Hemiplegia]] code only if these conditions exist for another reason that is not otherwise clear in the diagnosis. --[[User:LKolesar|LKolesar]] 08:57, 1 February 2010 (CST)
+****I totally agree with LKolesar... I code the CVA as this IS the Dx.  I only use the [[Paraplegia, Hemiplegia]] codes in the como's if this is a pre-existing condition or DX if its secondary to another problem.--[[User:Wturner|Wturner]] 11:38, 1 February 2010 (CST)
+*****Not all CVA's come in with [[Paraplegia, Hemiplegia]]. If it exists d/t CVA, I code it in.[[User:ENagy|ENagy]]
+******I have been coding similar to Laura. --[[User:MWaschuk|MWaschuk]] 15:13, 1 February 2010 (CST)
+*******I have been coding it the same as Gail .Shirley
+********I code the same way as Laura.   [[User:BDeVlaming|BDeVlaming]] 09:01, 2 February 2010 (CST)
+*********I code the CVA and Hemiparesis if present. This gives a more complete picture of the CVA. How do the doctors want it coded?--[[User:FLindell|FLindell]] 17:02, 3 February 2010 (CST)
+**********I code the CVA and then code [[Paraplegia, Hemiplegia]] if it occurs with the stroke. Lois
+***********I code the same as Lois both in the comorbids and admit diagnosis[[User:TAngell|TAngell]] 10:00, 3 February 2010 (CST)
+************I will code [[Paraplegia, Hemiplegia]] in co-mo's if they are existing. If the new dx. of cva also involves new hemi/paraplegia, I then code it in admits. If it is just a "weakness" associated with the new CVA, I do not code this as [[Paraplegia, Hemiplegia]].[[User:WGobert|gogogirl]] 10:11, 3 February 2010 (CST)
+*************I have always coded CVA and if they have resultant [[Paraplegia, Hemiplegia]], I code that as well. I thought this gives a more complete capture of the CVA. How the doctors want it coded?--FLindell 14:21, 1 February 2010 (CST)
+**************I code CVA for admit then [[Paraplegia, Hemiplegia]] as [[:Category: | Comorbid | Comorbid]] along with CVA next admission. I thought (perhaps incorrectly) that [[ADL]] could be an indicator of weakness affecting the patient.--CMarks 17:49, 3 February 2010 (CST)
-==Discussion==