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Home/Diagnosis/ICD-10 Coding for Left Cerebrovascular Accident (Left CVA)

ICD-10 Coding for Left Cerebrovascular Accident (Left CVA)

I63.9
I69.354

Complete ICD-10-CM coding and documentation guide for icd-10 coding for left cerebrovascular accident (left cva) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Left Stroke
Left Brain Attack
Left Hemispheric Stroke
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Key Information: ICD-10 Coding for Left Cerebrovascular Accident (Left CVA)

Essential facts and insights about ICD-10 Coding for Left Cerebrovascular Accident (Left CVA)

Use ICD-10 code I63.9 for unspecified cerebral infarction, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified cerebral infarction

Billable Code
I63.9
Billable

Diagnostic Criteria

  • • Document specific artery involvement if known.

Applicable To

  • • Cerebral infarction NOS

Important Notes

  • • Ensure documentation specifies laterality and dominance to avoid default assumptions.

Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side

Billable Code
I69.354
Billable

Diagnostic Criteria

  • • Documentation of left-sided weakness post-CVA
  • • Confirmation of non-dominant side involvement

Applicable To

  • • Left hemiparesis post-CVA

Important Notes

  • • Ensure clear documentation of the relationship between the CVA and the hemiparesis.
Ancillary Codes

Additional codes that may be used with this diagnosis

R29.81

NIHSS score

Document NIHSS score to indicate severity of stroke.

Frequently Asked Questions

How is left CVA coded in ICD-10?

Left CVA is primarily coded using I63.9 for unspecified cerebral infarction. If specific artery involvement is documented, use the appropriate code such as I63.312 for left MCA thrombosis.

What documentation is required for coding left CVA?

Documentation must include laterality, dominance, and a clear link between the CVA and any residual deficits. Imaging results should confirm the infarction.

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