TIA

I was wondering if anyone is sending a query to MD when the PDx is TIA, symptoms resolve in less than 24hrs and pt sent home on ASA or Plavix?

Per the CDI pocket guide: "TIA should ber considered a symptom, not a specific diagnosis or condition, and is assigned to DRG 69. Furthermore, TIA is a NOS code that can only be used when "information in the medical record is insufficient to assign a more specific code." [Official Guidelines I.A.5.b]."
"Almost every TIA is the result of:
1. Transient thrombosis of a cerebral or pre-cerebral artery, or
2. Transient cerebral embolism originating from another location."

I feel that a query should be given to the physician for a more specific dx especially if testing shows any stenosis or blockage.

If any one has a query sample they are willing to share related to this would be greatly appreciated.

Thank you!

Comments

  • edited May 2016
    Let me add that the carotid Doppler results "The Doppler flow velocities within the left external carotid artery are
    elevated, consistent with a severe stenosis."
  • edited May 2016
    Our Query for TIA offers clinical indicators for Carotid U/S results, Atrial Fib,  and any aniti- Thrombo-embolytics ordered.

    We then offer the following choices:

    Transient Cerebral Embolism
    "                 Precerebral Embolism
    "                 Cerebral Thrombosis
    "                  Precerebral Thrombosis
    Occlusion/Partial Oclusion Cerebral Artery
    Occlusion /Partial Occlusion Precerebral Artery
    CVA
    TIA
    Other/Unknown/undetermined

    Its a difficult diagnosis all around but if you can move it into DRG 068 you can at least get a higher weight than 069 and it can be impacted by an MCC.

    It has been one of the most difficult diagnoses to educate our Neuros.

    N. Brunson, RHIA, CDIP, CCDS
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