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Home/Diagnosis/ICD-10 Coding for Stroke-like Symptoms

ICD-10 Coding for Stroke-like Symptoms

I63.x
I69.x
G45.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for stroke-like symptoms includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Transient Ischemic Attack
Cerebrovascular Accident Symptoms
Stroke Symptoms
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Key Information: ICD-10 Coding for Stroke-like Symptoms

Essential facts and insights about ICD-10 Coding for Stroke-like Symptoms

Use ICD-10 code I63.x for acute ischemic stroke, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute ischemic stroke

Non-Billable
I63.x
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of acute neurological deficit with imaging confirmation

Applicable To

  • • Cerebral infarction
  • • Thrombotic stroke

Important Notes

  • • Ensure imaging confirms acute infarction before using I63.x codes.

Sequelae of cerebrovascular disease

Non-Billable
I69.x
Non-Billable

Applicable To

  • • Residual deficits post-stroke
  • • Recrudescence of stroke symptoms

Important Notes

  • • Ensure documentation clearly states residual deficits or recrudescence.

Transient ischemic attack, unspecified

Billable Code
G45.9
Billable

Applicable To

  • • TIA
  • • Mini-stroke

Important Notes

  • • Ensure symptoms resolve within 24 hours and imaging is negative.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z92.82

Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to a current facility

Use when thrombolytic therapy has been administered.

Frequently Asked Questions

What ICD-10 code is used for stroke-like symptoms?

For stroke-like symptoms without confirmed infarction, use R29.8. If symptoms resolve within 24 hours, consider G45.9 for TIA.

How to code a transient ischemic attack?

Use G45.9 for transient ischemic attacks where symptoms resolve within 24 hours and no infarction is present on imaging.

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