Health Information Management

Pay-Per-View: Coding Clinic advice for aborted stroke cases sparks debate

APCs Insider, July 27, 2007

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When a patient presents with an impending stroke and receives treatment to try to abort the stroke, and that treatment is successful, how do you code this scenario? According to Coding Clinic, first quarter, 2007, you should code a stroke. But the advice has prompted criticism.

"I am concerned that Coding Clinic is encouraging coders to code aborted stroke as stroke when the most commonly accepted clinical evidence for strokes--a positive MRI--does not exist," says James S. Kennedy, MD, CCS, director at FTI Healthcare in Brentwood, TN.

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