ICH 2nd to other causes
Legacy Content
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| edit dx infobox | |
| Category/Organ System: |
Category: Neurological Problem (old) |
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Type: |
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| Main Diagnosis: | Intracerebral hemorrhage |
| Sub Diagnosis: | ICH 2nd to other cuases |
| Diagnosis Code: | 50290 - ICH 2nd to other causes |
| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | CC & Med |
| Status: | Currently Collected
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ICH - Intra-cerebral hemorrage /intracerebral hemorrage
coding 50290 with a subcode 90 is the same as coding 50200 without a subcode. (other cause or unknown cause.
Could we use this course for "hemorrhagic transformation"?
We will not address at this time whether the old code should have been used for this.
The following information has already been integrated into the ICD10 pages, so see there for detail or up-to-date info.
There is no single ICD10 code for hemorrhagic transformation of in initially ischemic stroke. Code both the ischemic stroke (either as Cerebral infarction/stroke due to embolism or Cerebral infarction/stroke, NOS AND combine that code with the appropriate code for the Category:Cerebral Hemorrhage/Stroke.
If hemorrhage is seen post tPa in thrombic CVas-my premise has been if there are changes in their GCS and/or cerebral edema requiring intervention then I code as a comp related to anticoagulation (Complication of anticoagulation therapy) otherwise I do not capture-the neuro notes are usually pretty clear regarding the follow-up CTs done where these occur. In this scenario in ICD10, if the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then indeed the hemorrhage should be coded as Hemorrhage, due to anticoagulant or thrombolytic drug since it's not a spontaneous hemorrhagic transformation, and thus is a complication of treatment, not a complication of the stroke per se.