Cerebral infarction/stroke, NOS: Difference between revisions
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{{ICD10 category|Cardiovascular}}{{ICD10 category|Neuro}}{{ICD10 category|Cerebral Hemorrhage/Stroke}} | {{ICD10 category|Cardiovascular}}{{ICD10 category|Neuro}}{{ICD10 category|Cerebral Hemorrhage/Stroke}} | ||
== Additional Info == | == Additional Info == | ||
* | *This code is "NOS" in by virtue of being an ischemic stroke that is not embolic. | ||
**Thus, if the ischemic stroke is embolic (including cardioembolic) then instead of this code, use '''[[Cerebral infarction/stroke due to embolism]]'''. | |||
**Don't confuse it with '''[[Stroke, NOS]]''' which is "NOS" in that it refers to a stroke for which is not specified as hemorrhage or infarction. | |||
*If this code occurs, and then the initially ischemic stroke spontaneously "transforms" and bleeds, then COMBINE this code with the appropriate code for the hemorrhage (see below) | *If this code occurs, and then the initially ischemic stroke spontaneously "transforms" and bleeds, then COMBINE this code with the appropriate code for the hemorrhage (see below) | ||
**However, if hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then the hemorrhage should be coded as '''[[Hemorrhage, due to anticoagulant drugs]]''' since it's not a spontaneous hemorrhagic transformation, and thus is a complication of treatment, not a complication of the stroke per se. | **However, if hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then the hemorrhage should be coded as '''[[Hemorrhage, due to anticoagulant drugs]]''' since it's not a spontaneous hemorrhagic transformation, and thus is a complication of treatment, not a complication of the stroke per se. |
Revision as of 17:07, 2018 April 20
ICD10 Diagnosis | |
Dx: | Cerebral infarction/stroke, NOS |
ICD10 code: | I63.9 |
Pre-ICD10 counterpart: | Cerebral Infarct Cause NYD |
Charlson/ALERT Scale: | Cerebrovascular disease |
APACHE Como Component: | none |
APACHE Acute Component: | none |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
- This code is "NOS" in by virtue of being an ischemic stroke that is not embolic.
- Thus, if the ischemic stroke is embolic (including cardioembolic) then instead of this code, use Cerebral infarction/stroke due to embolism.
- Don't confuse it with Stroke, NOS which is "NOS" in that it refers to a stroke for which is not specified as hemorrhage or infarction.
- If this code occurs, and then the initially ischemic stroke spontaneously "transforms" and bleeds, then COMBINE this code with the appropriate code for the hemorrhage (see below)
- However, if hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then the hemorrhage should be coded as Hemorrhage, due to anticoagulant drugs since it's not a spontaneous hemorrhagic transformation, and thus is a complication of treatment, not a complication of the stroke per se.
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
- Hemorrhage, subarachnoid or ruptured cerebral aneurysm
- Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke)
- Subdural or epidural hematoma/hemorrhage, nontraumatic
Related CCI Codes
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