IS IT A LATE EFFECT

IS IT A LATE EFFECT - CVA?

In the ICD- 9 and ICD-10 books we have guidelines to support our coding choices. If there is ever a time to be sure the guideline is followed, this would be it. If a patient has a late effect from a previous CVA, it must be coded as such. A good example is 438.21 Hemiplegia affecting dominant side versus 342.11 Spastic hemiplegia affecting dominant side.

Code 438.21 is a direct coordination with the patient's previous CVA. Choosing 342.11 would be appropriate in a patient who has this condition related to an acute or chronic illness.

We thank physicians for choosing codes that are most descriptive of the diagnosis and its relationship to comorbidities

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