I need advice on when you code TIA vs. history of TIA. I have a family practice provider who is coding 435.9 - TIA. The documentation says that the patient is there for review of MRI results. He documents in the note that the patient has an appoitment with the neurologist at the end of the month for her recent apparent TIA, and also went on to say that she has no residual effects and no further occurence.
Should this be coded as 435.9 TIA or history of TIA V12.54 since it is not an acute episode?
When does it go from TIA to history of if the provider is still following up with the patient?
Thank you for your help.
Should this be coded as 435.9 TIA or history of TIA V12.54 since it is not an acute episode?
When does it go from TIA to history of if the provider is still following up with the patient?
Thank you for your help.