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CVA and hyperhomocysteinemia - I need you kind help in understanding

bkdash

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al ain, United Arab Emirates
Dear All,

I need you kind help in understanding the below scenario.

The patient admitted with CVA with history of DM and HTN.
MRI confirmed the CVA.
Discharge List: CVA, hyperhomocysteinemia, DM, HTN.
The physician is documenting hyperhomocysteinemia in discharge summary with a supported laboratory finding.
As we know the hyperhomocysteinemia is a risk factor for CVA can we code this along with CVA or we can consider this as a sign of CVA and ignore it?
For your kind information, there are vitamins (folic acid) given for this condition.

When we add the hyperhomocysteinemia (270.4)as an additional diagnosis, which results a higher level DRG, because ?hyperhomocysteinemia? falls under CC list.
 
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