AHA Coding Clinic® for ICD-9 - 2010 Issue 3; Ask the Editor

Hemorrhagic Conversion of Cerebral Infarction Due to Thrombolytic Therapy

A 77-year-old patient was admitted with expressive aphasia secondary to acute cerebral infarction. The patient was given intravenous (IV) tissue plasminogen activator (tPA) within 4.5 hours of the onset of symptoms with significant improvement of aphasia. Brain MRI showed acute left temporoparietal infarct with asymptomatic hemorrhagic conversion. The provider stated that the hemorrhagic conversion was caused by the tPA therapy. What are the code assignments for hemorrhagic conversion of the temporoparietal infarction due to tPA? ...

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