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Lynn Posted 7 Year(s) ago

When diagnosis coding for stenosis of carotid artery '433.10' (with 0 being without mention of cerebral infarction) I have a patient with history of CVA (cardiovascular accident). I'm stumped, do I code with mention of cerebral infarction '433.00' or History of CVA? Does CVA and cerebral infarction mean the same thing?
Thank you for your help!

SuperCoder Posted 7 Year(s) ago

If the present evaluation documents CVA is still a present condition, then you should code with CVA(434.91), else, you should code for history of CVA (V12.54).

Lynn Posted 7 Year(s) ago

Thank you, but I still need to know if CVA and cerebral infarct are the same as this procedure I am coding for is an endarterectomy of the carotid artery and so must code with 433.xx along with history of CVA. Sorry I wasn't more clear but need to know how to code the carotid artery stenosis, with or without mention of cerebral infarction? Need to know whether to put a 1 or 0 as fourth didgit?

SuperCoder Posted 7 Year(s) ago

I don't want to say that CVA and cerebral infarction are same, what I wanted to say is that ICD for both is same, i.e; code for CVA or cerebral infarction is 434.91.
***
But there are several combination codes for cerebral infarction. Let's take the context of your question, like:
Carotid stenosis without mention of cerebral infarction: 433.10
Carotid stenosis with cerebral infarction: 433.11
***
Carotid stenosis without mention of cerebral infarction with past history of CVA: 433.10, V12.54

Alicia Posted 6 Year(s) ago

This is an article about CVA and carotid stenosis. I hope it helps
http://www.fortherecordmag.com/archives/110909p24.shtml

Posted by Lynn, 7 Year(s). There are 5 posts. The latest reply is from Alicia.

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