CVA-Cerebral Vascular Accident

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

Expand

Click Expand to show legacy content.

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

Co-coding paralysis

Template: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?DPageNewton 21:06, 28 January 2010 (CST)

Yes

• 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.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. --PStein 07:59, 1 February 2010 (CST)
• Not all CVA's come in with Paraplegia, Hemiplegia. If it exists d/t CVA, I code it in.ENagy
• I have been coding it the same as Gail .Shirley
• I code the CVA and Hemiparesis if present. This gives a more complete picture of the CVA. How do the doctors want it coded?--FLindell 17:02, 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 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 diagnosisTAngell 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.gogogirl 10:11, 3 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)

No

• 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. --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.--Wturner 11:38, 1 February 2010 (CST)
• I have been coding similar to Laura. --MWaschuk 15:13, 1 February 2010 (CST)
• I code the same way as Laura. BDeVlaming 09:01, 2 February 2010 (CST)