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Lacunar Stroke

  1. Default Lacunar Stroke
    Medical Coding Books
    Hello All,

    I am looking for clarification on correcting coding of Lacunar Stroke. My thoughts, under the new ICD-10 rules, it is a 'specified' stroke; tho not specific enough for a location and therefore would be best defined as I63.8 which is 'Other' Cerebral Infarction vs I63.9 which is Cerebral infarction, Unspecified (Stroke NOS). What do ya'll think?

    Thank you!

  2. #2
    Default
    I was reading that if imaging is not done yet its considered a syndrome? which falls under G46.5-G46.7. Although we can't just assume though

    My understanding is the NEC and NOS hold the same meaning as it did in ICD-9 so the rule in assigning shouldn't be any different.

    I63.8 is NEC
    I63.9 is NOS
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
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  3. #3
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    Default
    Quote Originally Posted by bengles View Post
    Hello All,

    I am looking for clarification on correcting coding of Lacunar Stroke. My thoughts, under the new ICD-10 rules, it is a 'specified' stroke; tho not specific enough for a location and therefore would be best defined as I63.8 which is 'Other' Cerebral Infarction vs I63.9 which is Cerebral infarction, Unspecified (Stroke NOS). What do ya'll think?

    Thank you!

    My thoughts are the same--since it is specified, I63.8 is the best choice. However, there are several sites I've come across that list Lacunar as I63.9. I don't get the logic in that AT ALL!!

    Here's one of them I've seen it on; you can search I63.8 on the same site for examples it includes there.

    http://www.icd10data.com/ICD10CM/Cod...I69/I63-/I63.9
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

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