AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2013 Issue 4; Ask the Editor

Admission for Rehabilitation

The ICD-9-CM guidelines provide direction on the coding of admissions/encounters when the purpose is rehabilitation. In those situations, the appropriate code from category V57, Care involving use of rehabilitation procedures, is listed as the principal/first-listed diagnosis and the late effect code for the stroke is assigned as an additional diagnosis. ICD-9-CM does not allow the coding of the acute CVA once the patient is discharged from acute care. Does the same hold true for ICD-10-CM? For example, a patient is transferred from the acute care hospital into an inpatient rehabilitation facility for rehabilitation following an acute stroke. How should the admission to the rehabilitation facility be coded? ...

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