CVA-Cerebral Vascular Accident

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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

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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
Diagnosis Code:	50500 -CVA-Cerebral Vascular Accident 50501 - CVA Post Angiogram 50502 - CVA Post OP 50503 - CVA Post Trauma 50504 - CVA Post Anticoagulation TX (STK, TPA, TNK, HEP) 50505 - CVA Intra OP 50506 - CVA Post Partum 50507 - CVA-Superior Sagital Sinus 50508 - CVA-Brainstem 50590 - CVA 2nd to OTHER Procedure
Comorbid Diagnosis:	Yes see: Comorbid Diagnosis
Charlson Comorbid coding (pre ICD10):	1
Program:	CC & Med
Status:	Currently Collected

• also see Other Cerebral Infarct Cause NYD

This can be due to ischemia caused by blockage (thrombosis, arterial embolism), or a hemorrhage.Diagnostic imaging can identify the cause.

• We do not code paralysis or hemiplegia with the CVA.

• if admitted with a acute stroke, the DX stays as part of the admitting DX until patient is discharged from the hospital system in the Region. It will be coded as a comorbid on the next new admission to a hospital system in the Region. This is in following the same rule as for when does an ARF become CRF. --TOstryzniuk 19:48, 2 December 2010 (CST)

• NOTE: 50508 - CVA-Brainstem is really the same as code 504. This was an unintended double code that crept into list ages ago.Trish Ostryzniuk 16:05, 2012 July 12 (CDT)

• As per Dr. Allan Garland: Incidental findings of “old lacunar infarct” on CT should not be coded as CVA in admit, acquired or comorbid DX slots.Trish Ostryzniuk 17:19, 2012 September 12 (CDT)