AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor

Cerebral Artery Infarction with Hemorrhagic Conversion

A patient was given tPA after being admitted through the emergency department (ED) for sudden onset of weakness and difficulty speaking. The provider diagnosed ischemic infarction of the left posterior cerebral artery. A repeat computed tomography (CT) scan showed hemorrhagic conversion of the left posterior cerebral artery ischemic stroke. When the provider was queried regarding cause and effect between the tPA and the hemorrhagic conversion, he responded that there was no relationship; the hemorrhage occurred after the tPA had worn off. What is the diagnosis code assignment for the hemorrhagic conversion? ...

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