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 aneurysmClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Neurological Problem (old) |
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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: |
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| Comorbid Diagnosis: | Yes see: Comorbid Diagnosis |
| Charlson Comorbid coding (pre ICD10): | 1 |
| Program: | CC & Med |
| Status: | Currently Collected
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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)