Results 1 to 3 of 3

Status Post CVA at 10 months

  1. #1
    Default Status Post CVA at 10 months
    Medical Coding Books
    I need some help as this is not my forte. This is a 16 yr old femal pt.
    Assessment per PCP visit note:
    1. Status post CVA at 10 months with rt hemiparesis and lft facial droop
    2. Expressive aphasia
    3. Tension and migraine headaches
    4. Heavy periods that are irregular and painful
    5. Learning disability due to inability to focus
    6. Substantial loss of function and power in both rt uper and lower extremities secondary to CVA
    7. Tension and/or mirgraine headaches related to CVA that occured when she was a child
    8. Radical deviation of her rt hand with total absence of sensation of both upper and lower extremities with the exception of the sole of her foot

    The cause of the CVA was undetermined. My question is what falls under the late effect of the CVA and what doesn't? The visit was done to determine if the patient is qualified for Social Security and Medicaid.

    I appreciate your help.
    Alicia Scott, CPC, CPC-I, CRC
    Educational Director,,
    Have a Passion for Coding

  2. #2
    Per official ICD-9-CM guidelines:

    A late effect is the residual effect (condition produced) after the acute
    phase of an illness or injury has terminated. There is no time limit
    on when a late effect code can be used. The residual may be apparent
    early, such as in cerebrovascular accident cases, or it may occur
    months or years later, such as that due to a previous injury.

    Whenever the acute phase of a disease is treated and there are no symptoms whatsoever and after that period, if there is any symptom occuring, it should be coded as late effects of that disease.

    Girish Dadhich, CPC

  3. #3
    Default Thank you
    This was helpful. I appreciate the information.
    Alicia Scott, CPC, CPC-I, CRC
    Educational Director,,
    Have a Passion for Coding

Similar Threads

  1. Status Post
    By LLRodgers in forum Orthopaedics
    Replies: 3
    Last Post: 07-04-2015, 03:10 PM
  2. status post - diagnosed with Ascending
    By aparscal in forum Cardiology
    Replies: 1
    Last Post: 04-09-2015, 11:17 AM
  3. status post
    By solocoder in forum E/M
    Replies: 2
    Last Post: 09-17-2014, 10:47 AM
  4. casting below knee amputation after 8 months post op
    By cbeuerlein in forum Orthopaedics
    Replies: 0
    Last Post: 07-15-2011, 01:52 PM
  5. ICD-9 coding of CVA & cause of CVA
    By kseifert in forum Diagnosis Coding
    Replies: 2
    Last Post: 08-30-2009, 05:01 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.