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Wiki Vascular Dementia

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akbucholtz@tcmcf.org

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Physician clarified underlying physiological condition of VD as diffuse traumatic brain injury, sequela and CVA. Under coding directions for VD is directs you to code first the underlying physiological condition. Under the coding directions for the brain injury is says to code first the late effect. How should this be coded?

Head injury, CVA, Vascular Dementia
CVA, Vascular Dementia, Head Injury

Also, was curious about need to add F02.8x with the head injury.
 
Dementia With head injury

I would code CVA, Vascular dementia, then head/brain injury. F02.80 is coded with specific physiological conditions so if physician lists that, you can have both. Otherwise, CVA with vascular dementia is I69.318 & F01.50. Hope that helps even though late.
 
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