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Thread: What is the correct usage of Hx of CVA and CVA

  1. #1

    Default What is the correct usage of Hx of CVA and CVA

    AAPC: Back to School
    We often get notes from our providers that state CVA as the patient diagnosis. When do we use the history of V12.54 and when do we use the 434.91? thanks!

  2. #2
    Join Date
    Apr 2007
    Charlotte, NC

    Default CVA Codes


    V12.54 would be used if the patient has had a CVA in the past with no residual effects. Usually it will be documented as history of CVA. If the CVA just occurred, then I would use code 434.91. If the documentation states that there are residual effects from the CVA like dysphasia, I would use a Late Effect CVA code.

    Hope that Helps.

    Christina Thompson, CPC
    Last edited by cthompson1446; 09-30-2011 at 07:49 AM.

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