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tci ED Coding & Reimbursement Alert - 2005 Issue 9

If the Doctor Says 'Stroke,' You Can List 434.91

But double-check whether the patient had a hemorrhage Just because you can list 434.91 in more situations doesn't mean you should ignore the details of the patient's stroke. Without specifics, procedures can be hard to justify. Previously, for a simple diagnosis of -stroke,- the ICD-9 index listed 436 (Acute, but ill-defined, cerebrovascular disease) as the appropriate code, says Jackie Miller, RHIA, CPC, senior consultant at Coding Strategies Inc. in Dallas, Ga. Now the index lists 434.91 (Cerebral artery occlusion, unspecified, with cerebral infarction) as the code you should report. Under the new ICD-9 index, a diagnosis...

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