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| == Co-coding paralysis == | | == Co-coding paralysis == |
| {{Discussion}}
| | This can be due to ischemia caused by blockage (thrombosis, arterial embolism), or a hemorrhage. |
| '''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)
| | We do not code paralysis or hemiplegia with the CVA. |
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| === Yes ===
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| *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)
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| *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)
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| *Not all CVA's come in with [[Paraplegia, Hemiplegia]]. If it exists d/t CVA, I code it in.[[User:ENagy|ENagy]]
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| *I have been coding it the same as Gail .Shirley
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| *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)
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| **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)
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| *I code the CVA and then code [[Paraplegia, Hemiplegia]] if it occurs with the stroke. Lois
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| *I code the same as Lois both in the comorbids and admit diagnosis[[User:TAngell|TAngell]] 10:00, 3 February 2010 (CST)
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| *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)
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| *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)
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| === No ===
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| *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)
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| *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)
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| *I have been coding similar to Laura. --[[User:MWaschuk|MWaschuk]] 15:13, 1 February 2010 (CST)
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| *I code the same way as Laura. [[User:BDeVlaming|BDeVlaming]] 09:01, 2 February 2010 (CST)
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| [[Category: Diagnosis Coding]]
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| [[Category: Stroke]]
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| [[Category: Neurological Problem]]
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| [[Category: Comorbid Diagnosis]]
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| [[Category: Medical Problem]]
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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
Click Expand to show legacy content.
Co-coding paralysis
This can be due to ischemia caused by blockage (thrombosis, arterial embolism), or a hemorrhage.
We do not code paralysis or hemiplegia with the CVA.