Health Information Management

Coma, stroke codes require more specific documentation

HIM-HIPAA Insider, August 31, 2012

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A quick glance at ICD-9-CM and ICD-10-CM stroke and coma codes reveals many similarities and some important differences.

The 2013 ICD-10-CM Table of Diseases organizes cerebrovascular disease codes as follows:

  • I60-I62: Non-traumatic intracranial hemorrhage (i.e., spontaneous subarachnoid, intracerebral, or subdural hemorrhages)
  • I63: Cerebral infarctions (i.e., due to a vessel thrombosis or embolus)
  • I65-I66: Occlusion and stenosis of cerebral or precerebral vessels without infarction
  • I67-I68: Other cerebrovascular diseases
  • I69: Sequelae of cerebrovascular disease (late effect)

Note that some neurologic manifestations of cerebrovascular disease, such as transient cerebral ischemic attacks and related syndromes (G45), are classified elsewhere.

Editor’s note: This was an excerpt from an article in the September 2012 edition of the HCPro, Inc. newsletter Briefings on Coding Compliance Strategies.



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