tci Part B Insider - 2005 Issue 8

STROKE CODING: If The Doc Says 'Stroke,' You Can List 434.91

But double check whether the patient had a hemorrhageGood news: A change in the 2005 ICD-9 Index means that when your physician writes down "stroke" as the patient's diagnosis, you can automatically record ICD-9 code 434.91 . In the past, for a simple diagnosis of "stroke," the ICD-9 Index listed 436 (Acute, but ill-defined, cerebrovascular disease) as the appropriate code, according to Jackie Miller, senior consultant at Dallas, GA-based Coding Strategies Inc. Now the Index lists 434.91 (Cerebral artery occlusion, unspecified, with cerebral infarction) as the code you should report. Under the new ICD-9 Index, a diagnosis...

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