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Neurology & Pain Management Coding Alert

ICD-10:

Late Effects of Cerebrovascular Disease Gets ICD-10 Overhaul

Published on Mon Jul 11, 2011

Prepare for extra digits explaining more details.Currently, ICD-9-CM makes coding for late effects of cerebrovascular disease fairly simple. You go to code family 438.xx (Late effects of cerebrovascular disease) and choose the code best describing the condition causing the late effects. Options include cognitive or speech/language deficits, hemiplegia, vision disturbances, and others.What's missing: ICD-9-CM codes do not specify the underlying etiology or laterality. ICD-10 will change that in October 2013, with new terminology, etiology details, and anatomic references.Changes: Diagnoses related to late effect of cerebrovascular disease will be in code block I69.xx (Sequelae of cerebrovascular disease) under ICD-10. The term "sequelae" has historically been used in ICD-10. Sometimes a patient's current condition is caused by an original condition or injury that is no longer present. One is said to be the sequela (late effect) of the other. You'll have more than 150 code choices distinguished by underlying etiology (such as [...]
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