ICD CVA with Late effects ICD 10

[JoJuan]

Hello-
I have a question regarding sequelae of CVA for ICD 10. I have some coders that are picking up late effect of CVA using I69.3 as the fourth digit and others using I69.9. I noticed that I69.3 is specifying cerebral infarction (stroke) and I69.9 is unspecified cerebrovascular disease. The rationale is that CVA is not stating cerebral infarction (I69.3) so I69.9 unspecified is best. I am split,what is the best choice for late effect CVA I69.3 or I69.9?

 

[Chandra Stephenson]

I69.3- is the appropriate for sequelae of stroke (see the excludes notes under I69.9-). I69.9- is for use when the patient has a late effect to some unspecified type of cerebrovascular disease (predominantly when the physician does not specify the type of cerebrovascular issue that led to the late effect - doesn't say stroke, CVA, TIA, TBA, etc).