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Wiki Sequelae of Cerebrovascular Disease

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Kris78

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If a patient presents for a f/u to an Ischemic stroke and has complaints of muscle weakness to the Left side, am I able to assume the causal relationship considering the patient had a stroke and code a Sequelae as secondary or would the physician have to state: Left side weakness DUE TO ......."

The guidelines do not mention anything about being able to make the assumption or not for coding.

Any comments on this would be appreciated!
 
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