trinalankford
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We are dual coding ER charts right now, and my patient has a current TIA with residuals from a prior CVA of generalized weakness and dysarthria.
I attempted to code these conditions through my Encoder and then through my Coding Book but got an Excludes1 note that I can't use these codes together (codes I69.328 and I69.398 should not be used in conjunction with G45.9 per Excludes1 notes).
G45.9 - TIA, unspecified
I69.328 - Other speech and language deficits following cerebral infarction
I69.398 - Other sequelae of cerebral infarction
R53.1 - Weakness
I can see in the guidelines where you can use the CVA sequelae codes (I69 codes) with a current CVA (I60-I67), but you can't use the CVA sequelae codes with a current TIA. That does not make sense to me.
Am I missing something here, or will this patient simply have the G45.9 code for the current TIA, disregarding his sequelae codes?
Thank you!
I attempted to code these conditions through my Encoder and then through my Coding Book but got an Excludes1 note that I can't use these codes together (codes I69.328 and I69.398 should not be used in conjunction with G45.9 per Excludes1 notes).
G45.9 - TIA, unspecified
I69.328 - Other speech and language deficits following cerebral infarction
I69.398 - Other sequelae of cerebral infarction
R53.1 - Weakness
I can see in the guidelines where you can use the CVA sequelae codes (I69 codes) with a current CVA (I60-I67), but you can't use the CVA sequelae codes with a current TIA. That does not make sense to me.
Am I missing something here, or will this patient simply have the G45.9 code for the current TIA, disregarding his sequelae codes?
Thank you!