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.
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.
- also see Other Cerebral Infarct Cause NYD
This can be due to ischemia caused by blockage (ARTERIAL thrombosis, ARTERIAL embolism), or a hemorrhage. Diagnostic imaging can identify the cause.
- Question: 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)
- 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.These are specific rules regarding CVA and ARF --TOstryzniuk 19:48, 2 December 2010 (CST)
Question: CVA secondary to ARTERIAL blockage
- If a patient is coming in with a CVA secondary to an arterial blockage, is this how we are supposed to code it? None of the other sub diagnoses seem to apply. Does anyone use the subcode "secondary to central venous thrombosis" for an embolic arterial blockage?Mlagadi 14:34, 2016 September 27 (CDT)
- I have seen this type of stroke in some very neuro specific cases where it is documented as specifically a venous thrombus stroke. I have seen at least 2 this year.--Jpeterson 11:07, 2016 September 28 (CDT)
- How did you code them, Joyce? Ttenbergen 09:26, 2016 September 29 (CDT)
- I have also seen several but they are always labelled as due to thrombosis rather than obstruction SCortilet 10:32, 2016 September 30 (CDT)
- Code as 50500 -CVA-Cerebral Vascular Accident for ARTERIAL blockage. Only venous CVA's should be coded using 50507 - CVA-Cerebral Venous Thrombosis Trish Ostryzniuk 12:40, 2016 September 29 (CDT)
- I have seen this type of stroke in some very neuro specific cases where it is documented as specifically a venous thrombus stroke. I have seen at least 2 this year.--Jpeterson 11:07, 2016 September 28 (CDT)
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)
eliminate code?
- 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)
- Template:Discussion should we delete one of them from the drop-down? if so, please add to Requested CCMDB changes for the next versionTtenbergen 09:37, 2012 September 13 (CDT)Ttenbergen
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