Wiki CVA's

[StacyGalloway]

When CVA's are diagnosed it is because they are currently experiencing this, or it has been one or two days after the initial CVA. After that one would use a diagnosis for history of (Z86.73) or diagnosis the residual side effects of said CVA ( muscle weakness etc). I have been told this by several speakers at monthly meetings through the AAPC, however am having a terrible time convincing a provider of this. Any thoughts?

 

[cherene]

When CVA's are diagnosed it is because they are currently experiencing this, or it has been one or two days after the initial CVA. After that one would use a diagnosis for history of (Z86.73) or diagnosis the residual side effects of said CVA ( muscle weakness etc). I have been told this by several speakers at monthly meetings through the AAPC, however am having a terrible time convincing a provider of this. Any thoughts?

CVA's are "inpatient" diagnosis codes only. Once the patient is discharged from the hospital, they become Hx of CVA, with or w/o residual side effects. The ONLY exception to this would be if the patient actually has a CVA/TIA in the Doctors office, transported to hospital and confirmed by imaging. It is extremely difficult to get Providers to understand this concept.