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!
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
elevated, consistent with a severe stenosis."
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