AHA Coding Clinic® for ICD-9 - 2010 Issue 1; Ask the Editor

Acute Cerebrovascular Accident (CVA) with Resolved Hemiplegia at Discharge

According to Coding Clinic, Second Quarter 1989, page 8, hospitals are not to report hemiplegia as an additional diagnosis for patients who present with acute CVA if the hemiplegia resolves prior to hospital discharge. Therefore, hemiplegia is not being reported even though these patients receive physical therapy or other treatment, which would ordinarily signify reporting the hemiplegia based on the General Rule for Reporting additional diagnoses. Could consideration be given to allow coding this clinically significant diagnosis? ...

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