AHA Coding Clinic® for ICD-9 - 1989 Second Quarter

Cerebrovascular Accident with Late Effects

In order to classify cerebrovascular accident (CVA) with late effects correctly, the coder should be aware that if the CVA culminates in neurological deficits, they occur immediately. Initial onset of CVA with neurologic deficits (hemiplegia, dysphagia, dysphasia, asphasia, and/or other paralysis, such as of eye muscles) are coded to categories 430-434 if the type of CVA is known, such as cerebral hemorrhage or thrombosis. Code also any neurologic deficit still present at the time of discharge. If the CVA is not further described, assign code 436, Acute, but ill-defined, cerebrovascular disease. Code also the neurologic deficit. Note: As of...

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