Conquer your coding & OASIS challenges with the best home health tips on YouTube: http://ppsplus.com. Watch this helpful video to help you better code sequela of CVA in home health. ICD-10 can be tricky, but this tip can definitely help you avoid the costliest mistakes.
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Video Notes:
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Things to remember when coding Sequela of CVA:
A sequela is the residual effect (condition produced) after the acute phase of an injury or illness has terminated. Sequela of cerebrovascular disease, including acute CVAs, are coded using I69 codes. If there are no sequela present after a CVA or TIA, use Z86.73, Personal history of TIA and cerebral infarction without residuals, instead. The sequela of cerebrovascular disease may be present from the onset or may arise at any time after the onset of the condition. It is not appropriate to assign codes from subcategory I69.9 for residuals or sequelae of strokes because this code indicates unspecified cerebrovascular disease. Instead the default category for sequela of strokes NOS is I69.3. Some I69 codes are combination codes that include the residual deficit within the code, e.g., I69.351, Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side. Others codes require additional information in the form of a secondary code to further specify the deficit, e.g., I69.391, Dysphagia following cerebral infarction. There is a “Use additional code” note indicating that an R13.1- code should also be used to further indicate the type of dysphagia.
0: 11 Things to Remember – Slide 1
0: 44 Things to Remember – Slide 2
1: 18 Things to Remember – Slide 3
1: 39 Scenario
2: 19 See it coded!
3: 07 Additional Diagnoses
3: 25 Rationale
3: 58 Rational (cont.)
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