Inpatient Facility Coding & Compliance Alert

Reader Questions:

Turn to 434.01 for Cerebral Thrombosis with Infarction

Question: A patient was admitted in a coma due to acute cerebrovascular thrombosis with cerebral infarction. Aphasia and right hemiparesis were also present. The coma cleared by the patient's third hospital day; the aphasia cleared by discharge, but the hemiparesis was still present. What diagnoses should I report?
Answer: The claim should include three diagnoses:
  • 434.01 – Cerebral thrombosis with cerebral infarction
  • 342.90 – Unspecified hemiplegia and hemiparesis affecting unspecified side
  • 784.3 – Aphasia