CVA-Cerebral Vascular Accident: Difference between revisions
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Ttenbergen (talk | contribs) (→eliminate code?: Agree with Laura, both are needed. Since we are not changing codes now in prep for ICD10 I have taken the whole discussion out.) |
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=== Incidental findings of '''OLD ''' lacunar infarcts === | === Incidental findings of '''OLD ''' lacunar infarcts === | ||
*Dan Roberts:Incidental findings of “'''old lacunar infarct'''” on CT will '''continue to be included''' as '''COMORBID diagnosis'''. Staff have been including them as comorbids, if we stop including then this will affect the [[overstay]] project that is currently being piloted at the Grace and will eventually be done at other sites in the Region. -[[User:TOstryzniuk|Trish Ostryzniuk]] 10:52, 2012 September 14 (CDT) | *Dan Roberts:Incidental findings of “'''old lacunar infarct'''” on CT will '''continue to be included''' as '''COMORBID diagnosis'''. Staff have been including them as comorbids, if we stop including then this will affect the [[overstay]] project that is currently being piloted at the Grace and will eventually be done at other sites in the Region. -[[User:TOstryzniuk|Trish Ostryzniuk]] 10:52, 2012 September 14 (CDT) | ||
== Legacy == | == Legacy == | ||
Revision as of 10:46, 2017 May 30
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 aneurysmClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Neurological Problem (old) |
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Type: |
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| Main Diagnosis: | CVA-Cerebral Vascular Accident |
| Sub Diagnosis: | Yes |
| Diagnosis Code: | |
| Comorbid Diagnosis: | Yes see: Comorbid Diagnosis |
| Charlson Comorbid coding (pre ICD10): | 1 |
| Program: | CC & Med |
| Status: | Currently Collected
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CVA (Cerebral Vascular Accident, Stroke).
A CVA can be due to ischemia caused by blockage (ARTERIAL thrombosis, ARTERIAL embolism), or a hemorrhage. Diagnostic imaging can identify the cause.
See also Other Cerebral Infarct Cause NYD
Coding Instructions
Co-code with TPA if applicable
Don't forget to code Thrombolytic Infusion (STROKE) if TPA actually administered to the patient in the ER prior to coming to your unit or while if given while in your unit.
Question: cause vs outcome
- Are we concerned more with causes or diagnostic codes for CVA or the physiological outcome? Many CVAs have temporary weakness resolved post t Pa-versus dense hemi-paresis and as mentioned above diaphragmatic impacts-perhaps sub-coding is not so irrelevant when looking at patient rehab requirements or long-term care dispositions?--Llemoine 08:12, 2016 October 7 (CDT)
- Are you asking about how you might change coding? I don't understand where you are going... Ttenbergen 14:54, 2016 October 12 (CDT)
CVA secondary to Arterial blockage
- If a patient is coming in with a CVA secondary to an arterial blockage code as 50500 -CVA-Cerebral Vascular Accident. Do not code this as a venous CVA.
Incidental findings of OLD lacunar infarcts
- Dan Roberts:Incidental findings of “old lacunar infarct” on CT will continue to be included as COMORBID diagnosis. Staff have been including them as comorbids, if we stop including then this will affect the overstay project that is currently being piloted at the Grace and will eventually be done at other sites in the Region. -Trish Ostryzniuk 10:52, 2012 September 14 (CDT)
Legacy
Wording changed for 50507 to cerebral venous thrombosis to include all cerebral venous thrombosis. Discussed at the task meeting August 21,2014. http://emedicine.medscape.com/article/1162804-overview