Cerebrovascular Disease - Banponghospital
Cerebrovascular DiseaseChapter IXI60-I69 Cerebrovascular DiseasesCerebrovascular Accident / StrokeCerebral InfarctionIntracerebral HemorrhageSubarachnoid HemorrhageOld of Cerebrovasvular Diseaseนพ.บิัก์ �รรม รพ.สวรร์ประชาัก์ นครสวรร์12Cerebrovascular Accident / StrokeCerebrovascular Accident / StrokeClinical classificationTransient Ischemic Attack (TIA)acute focal neurological deficit resulting from CVD with resolutionof signs and symptoms within 24 hoursReversible Ischemic Neurological Deficit (RIND)attack lasting longer than 24 hours but with complete clearance of signsand symptoms within 7 daysCompleted Strokeneurological deficit lasts longer than 7 daysIschemic Stroke 84% of CVA34
Cerebrovascular Accident / StrokeCerebrovascular Accident / StrokePathological classificationSummary DiagnosisNo ImagingStrokeCerebrovascular accident / CVAICD-10Thrombotic stroke หลอดเือดสมองีบ!Embolic stroke 4I64Clinical DiagnosisHemorrhagic stroke INDG45.9I63.956Ischemic StrokeCerebral InfarctionObstruction of an artery leading to or in the brainCerebral thrombosis vs. Cerebral embolismI63Cerebral infarctionocclusion and stenosis of cerebral and precerebralarteries, resulting in cerebral infarctionExcludes: sequelae of cerebral infarction ( I69.3 )Includes:I63.0I63.1I63.2Thrombotic stroke (50%)Embolic stroke (30%)blood clot within blood vessel ofthe brain and neck: Large vessel thrombosis 30%: Small vessel disease 20%(Lacunar infarction): Hypercoagulable disordersblood clot or other material carried tothe brain from another part of the body: Atrial fibrillation (cardiac emboli): Myocardial infarction: Bacterial bral infarction due to thrombosis of precerebral arteriesCerebral infarction due to embolism of precerebral arteriesCerebral infarction due to unspecified occlusion or stenosisof precerebral arteriesCerebral infarction due to thrombosis of cerebral arteriesCerebral infarction due to embolism of cerebral arteriesCerebral infarction due to unspecified occlusion or stenosisof cerebral arteriesCerebral infarction due to cerebral venous thrombosis,nonpyogenicOther cerebral infarctionCerebral infarction, unspecifiedStroke, not specified as haemorrha e or infarction8
Cerebral ArteryACACerebral InfarctionPCAMCA910Cerebral Artery Stroke SyndromeCerebral Artery Stroke SyndromeSymptomsInternal Carotid ArteryAnterior Cerebral Artery Loss of discriminatory sensation and weakness orparalysis of the contralateral foot and leg, perhaps withsome deficits in the contralateral shoulder and arm Occasionally, deviation of the head and eyes toward theside of the affected cerebral artery Occasionally, central motor problems, ranging fromexpressive aphasia to dyskinesiaMiddle Cerebral Artery Full sensory loss and weakness or paralysis of the face,arm, and leg on there opposite side to the bodySymptomsInternal Carotid ArteryPosterior Cerebral Artery Sensory loss on the entire contralateral body; here, whensensation gradually returns, it is frequently accompaniedby pain CN VII palsy, which may also be associated withhemiparesis, hemiplegia, ataxia, or decreased levels ofconsciousness Movement disorders on one side of the body, such ashemiballismus, hemichoreathetosis, or hemiataxia Visual loss, specially, homonymous hemianopia Dyslexia Blindness in the opposite visual field Deviation of the head and eyes toward the side of the sideof the affected MCA If the dominant MCA had been occluded, global aphasia If the nondominat MCA had been occluded, contralateralneglect or anosognosia1112
Precerebral ArteryPrecerebral Artery Stroke SyndromeSymptomsInternal Carotid ArteryBasilar arteryCarotid arteryVertebral arteryVertebral Artery Vertigo, nystagmus, vomiting, ipsilateral atzxia, andBasilar Artery Bilateral neurological problems, such as bilateral sensoryhypoglossal nerve dysfunctionand motor deficits Combined cerebellar and cranial nerve problems When the stroke affects the medulla, stupor, coma, or aquadriplegic, mute, but conscious condition Hemiparesis with contralateral cranial nerve dysfunctionor with ipsilateral ataxiaInternal Carotid Artery Amaurosis fugux Watershed infarctions MCA?ACA - either alone or in combinations1314Vertebral Artery Stroke SyndromeVertebral Artery Stroke SyndromeSymptomsInternal Carotid ArteryWallenberg’s syndrome Ipsilateral ataxia, Horner’s syndrome, reduce cornealreflex, nystagmus, hypacusis, dysarthria, dysphagia,[Lateral Medullary]paralysis of palate-pharynx-vocal cord, loss of taste inposterior 1/3 Contralateral loss of pain and temperaturesesation inthere trunk and limb, tachycardia, dyspnea, palatalmyoclonusDejerine’s syndrome[Medial Medullary]Foville’s syndromeMillard-GublersyndromeWeber’s syndromeBenedikt’s syndromeReymond-Cestansyndrome Ipsilateral tongue paresis with deviation to the side of thelesion Contralateral hemiplegia with facial sparing Ipsilateral loss of vibration and proprioception Ipsilateral paresis of the whole face Loss of ipsilateral horizontal gaze Contralateral hemiplegia with facial sparing Diplopia with facial paresis Contralateral hemiparesis15SymptomsInternal Carotid ArteryLocked-in syndromeOne-and-a-halfsyndrome Ipsilateral mydriasis, CN III palsy and ptosis Contralateral hemiplegia Ipsilateral oculomotor effect as inWeber’s syndrome Contralateral tremor, ataxia or chorea Ipsilateral ataxia and tremor Weakness of mastication Contralateral loss of sensory modalities May involve facial weakness and hemiparesis Quadriplegia with preserved consciousness Ipsilateral conjugate gaze palsy and internuclearophthalmoplegia Inability to move the ipsilateral eye and only abduct thecontralateral eye with nystagmus16
Cerebral Vein ThrombosisCerebral InfarctionSummary DiagnosisCerebral infarction due to precerebral arteryVertebral artery, Basilar artery, Carotid arteryThrombosis of precerebral arteryEmbolism of precerebral arteryUnspecified stenosis of precerebral arteryCerebral infarction due to cerebral arteryAnterior/Middle/Posterior Cerebral artery, Cerebellar arteryThrombosis of cerebral arteryEmbolism of cerebral arteryUnspecifiedCerebral infarction due to venous thrombosis1718All of these are I63.9 in ICD-10-CMCerebral 10!!I63.0I63.1I63.2!!I63.3I63.4I63.5I63.6Focal necrosis due to complete and prolonged ischemia of brainAcute ischemic strokeAcute thrombotic ��ือดสมองีบ/ุดันBasal ganglion infarctionBrain stem ��กซเร์คอมิวเตอ์ �ลตรวจอาจปกิไ้Cerebellar infarctionCerebellar stroke syndromeCerebrovascular accidentIschemic strokeLacunar infarctionWARNINGReversible ischemic neurologic deficit (RIND)Thalamic infarctionThrombotic stroke19๏ Acute ischemic stroke๏ Ischemic stroke๏ Lacunar infarction๏ MCA infarctionMEANING . I64 Stroke . I64 Stroke . I63.9 Cerebral infarction . no code20
Intracranial HemorrhageIntracranial HemorrhageHemorrhagic strokeIntraparenchymal hemorrhage: Intracerebral hemorrhage: Basal ganglion hemorrhage: Lobar hemorrhage: Pontine hemorrhage: Cerebellar hemorrhageIntraventricular hemorrhageExtra-axial hemorrhage: Epidural hemorrhage: Subdural hemorrhageA-deep cerebral, B-basal ganglia, C-thalamus, D-pons, E-cerebellum: Subarachnoid hemorrhage2122Intracerebral HemorrhageIntracranial HemorrhageI61Intracerebral haemorrhageI61.2I61.3I61.4I61.5I61.6I61.8Excludes: sequelae of intracerebral haemorrhage ( I69.1 )Intracerebral haemorrhage in hemisphere, subcorticalDeep intracerebral haemorrhageIntracerebral haemorrhage in hemisphere, corticalCerebral lobe haemorrhageSuperficial intracerebral haemorrhageIntracerebral haemorrhage in hemisphere, unspecifiedIntracerebral haemorrhage in brain stemIntracerebral haemorrhage in cerebellumIntracerebral haemorrhage, intraventricularIntracerebral haemorrhage, multiple localizedOther intracerebral haemorrhageI61.9Intracerebral haemorrhage, unspecifiedI61.0I61.1I62Summary eep intracerebral hemorrhage [subcortical]Superficial intracerebral hemorrhage [cortical]I61.0I61.1Other nontraumatic intracranial haemorrhage23ICD-10Intracerebral hemorrhageBasal ganglion hemorrhageInternal capsule hemorrhageBrain stem hemorrhageCerebral lobar hemorrhageCerebellar hemorrhagePosterior fossa hemorrhageMultiple intracerebral hemorrhage24
Comorbidity of StrokeComplication of intracranial haemorrhageBrain herniationBrain edemaHydrocephalusAcute respiratory failureStrokeComplication of intracranial haemorrhageSummary DiagnosisIntraventricular hemorrhageBrain herniationBrain morrhagic TransformationOld Cerebrovascular AccidentHemorrhagic transformation of cerebral infarctSequelae vs. Personal ��ลอดเือดสมอง (CVA) — Old CVA15–20% of MCA occlusions: Petechial บประสาทหลงเหืออ่: Secondary hematomaReperfusion of infarcted tissues which have weakened tissueAfter stroke onset by 48–72 hoursCommon location: Basal gangliaเิด้นอ่าง้อย 1 ี ึก่า Sequelae of ��อ (ปกิุกอ่าง): Cortexใ้ันึก่า Personal history of [แ่อยากบอกคน่น]2728
Sequelae of StrokeBedriddenLate effects, Present one year or more after onsetI69Sequelae of cerebrovascular diseaseI69.0Category I69 is to be used to indicate previous episodesof conditions in I60-I67.1 and I67.4-I67.9 as the cause ofsequelae, themselves classified elsewhere.The "sequelae" include conditions specified as such or aslate effects, or those present one year or more after onsetof the causal condition.Not to be used for chronic cerebrovascular disease. Codethese to I60-I67.Sequelae of subarachnoid haemorrhageI69.1I69.2Sequelae of intracerebral haemorrhageSequelae of other nontraumatic intracranial haemorrhageNote:I69.3Sequelae of cerebral infarctionI69.4Sequelae of stroke, not specified as haemorrhage or infarctionI69.8Sequelae of other and unspecified cerebrovascular “Confined to bed because of illness, especially for a long ��ลอดเวลา อาจขับัวไ้เ็ก้อย �นๆ ไ่ไ้ ��ากโรค จากุัิเหุ จากการ่าัดให่ จากัยICD-10 แ่งเ็น 2 ูปแบบ: อ่่้าน (Bedridden status): �พยาบาล (Care for bedridden status)Diseases of arteries, arterioles and capillaries29Bedridden“Confined to bed because of illness, especially for a long �-30Bedridden(Z99.-)Z74.0 Need for assistance due to reduced mobilityZ74.1 Need for assistance with personal careR26.3 ImmobilityBedfastChairfast-R26.8 Other and unspecifiedSummary DiagnosisBedridden statusCare for bedridden status31ICD-10R26.3Z74.032
StrokeSubarachnoid HemorrhageComplication of intracranial haemorrhageSummary DiagnosisFlaccid hemiplegia / Flaccid hemiparesisHemiplegia / HemiparesisFlaccid paraplegia / Flaccid paraparesisParaplegia / ParaparesisFlaccid quadriplegia / Flaccid quadriparesisQuadriplegia / QuadriparesisFlaccid monoplegia / Flaccid 0G82.2G82.3G82.5G83.R47.0R133334Subarachnoid HemorrhageSubarachnoid 6I60.7Subarachnoid haemorrhageIncludes: ruptured cerebral aneurysmExcludes: sequelae of subarachnoid haemorrhage ( I69.0 )Subarachnoid haemorrhage from carotid siphon andbifurcationSubarachnoid haemorrhage from middle cerebral arterySubarachnoid haemorrhage from anterior communicatingarterySubarachnoid haemorrhage from posterior communicatingarterySubarachnoid haemorrhage from basilar arterySubarachnoid haemorrhage from vertebral artery WHO’s ICD-10Subarachnoid haemorrhage from other intracranial arteriesMultiple involvement of intracranial arteriesSubarachnoid haemorrhage from intracranial artery,unspecified35I60I60.7I60.0Subarachnoid haemorrhageIncludes: ruptured cerebral aneurysmMultipleinvolvementarteriessequelae ofof intracranialsubarachnoidhaemorrhage ( I69.0 gehaemorrhagefromfromintracranialcarotid siphonandunspecifiedbifurcationRuptured (congenital) berry aneurysm NOSSubarachnoid haemorrhage from:· cerebralartery NOS· communicatingOther subarachnoid haemorrhageMeningeal haemorrhageRupture of cerebral arteriovenous malformationSubarachnoid haemorrhage, unspecifiedRuptured (congenital) cerebral aneurysm NOS}I60.8I60.9I61Intracerebral haemorrhage36
Disease of ArteriesChapter IXI70-I89 Diseases of Artery, Vein, LymphaticPeripheral Vascular DiseaseCritical Limb IschemiaAcute Vascular OcclusionBuerger’s DiseaseRaynaud’s Phenomenon!นพ.บิัก์ �รรม รพ.สวรร์ประชาัก์ นครสวรร์3738Peripheral Vascular DiseaseAtherosclerosisPeripheral vascular disease / PVDPeripheral arterial disease / PADPeripheral arterial occlusive disease / ��ง งหลอดเือด (atherosclerotic ��น: Atherosclerotic vascular disease: ��ไ้ไ่ีพอ �� (chronic limb ischemia)้อน่มเือด (thromboembolism) �นผลใ้: Arteritis [Buerger’s disease]: Non-atherosclerotic vascular disease [Raynaud’s น (acute limb ischemia)40
�่วยอาุมากก่า 40 ีI70Includes: arteriolosclerosisarteriosclerosisarteriosclerotic vascular diseaseatheromadegeneration:· arterial· arteriovascular· vascularendarteritis deformans or obliteranssenile:· arteritis· endarteritisThe following supplementary classification to indicate thepresence or absence of gangrene is provided for optional use.0 without gangrene1 with gangreneExcludes: cerebral ( I67.2 )coronary ( I25.1 )mesentericK55.1 )ในป( �องโรคpulmonary ( I27.0 )Atherosclerosis ofหรืaortaอ Buerger’s disease �ขนาดBuerger’s ��ือดเ้อัง (Chronic limb ischemia): Intermittent claudication ีอาการเ่อออกแรง จะี้นเ่อไ้ัก: Rest pain ีอาการแ้ในขณะัก: Tissue loss �าย“Chronic arterial �วามเปนมาBuerger’s ��ือดเียบพัน (Acute limb ischemia): 5P’s [Pain, Pallor, Pulseless, Paralysis, Paresthesia]“Acute arterial เปนมากลาง หลอดเลื อ ดดํ า และเสนประสาทบริ เ �ยการตี บ แคบ มี ลั ก ษณะแบบ ก” จะมีในป �ภาพของโรคหรือ Buerger’s disease ��ิกาํ เนิดBuerger’sdisease” ��ื่นBuerger’sDiseaseกลาง หลอดเลื อ ดดํ า และเสนประสาทบริ เ �ยการตี บ แคบ มี ลั ก ษณะแบบ �่แทจริงของโรค Buerger’s disease ��วไป ��ธิกาํ เนิดThromboangiitis(TAO):(1879)Leo ��รค Buerger’s disease ��ยก่า 45–50 ี ่ีประัิูบุห่ัด 20I70.21หรืโอกาสเกิอ �น่กลาง หลอดเลื อ ดดํ า และเสนประสาทบริ เ �ยการตีบ แคบ มี ลั ก ษณะแบบ rmedad de Buergerปลายือปลายเ้า” �ตุและพยาธิกาํ rmedad de Buerger ne/ViewImage.php?ImageId ��ของโรค Buerger’s disease �นแต
ปร วติคว มเปนมปร วติคว มเปนมนป ค ศพทยช วฝรง ศวทย นพนธของ ข วดบนทก ว นจมก ปนผลจ กก ร มผ อ ก ศ ยน รอ ภ ว ท งอ รมณบ ง ภ วRaynaud’s �่หนาวเ็นม ปร ก ร ลอด ลอด ดงอดกนจ กคว มดน น ลอด ลอด ดงขณ �เป่ยนเ็นีขาวีด จาก้นจะก ร ดตวของ ลอด ลอดท พมม กขนจ กคว มดน น ลอด ลอดขณ พก ท ปนผลม จ กอ ก ศท่อยๆ เ็นเ็นี่วง �นน ว ยน อ ก ศ ยนทํ α้นจะเป่ยนเ็นีแดง ในราย่เ็นนานๆ และลβตอน นองพมขน ก ร ดตวของ ลอด ลอด พมม ��ลายนอกจ �้า!จมก ปนผลจ กก ร มผ อ ก ศ ยน รอ ภ ว ท งอมทร บ ต ล ก ร พทย นปจจบนก มทร บด คยกล ว ว ร บบ ล วยน ลอด กดคว มผดปกพยงพอ ทํพยงพอ ทํชล จบRaynaud’s Phenomenonนกรณท ปนม ก กดอก ท กด นอต ยพบนอย ดยจ พบผปวย นชวงท ภ พอ ก ร ยนน ดอนกนย ยน ล ตล คมRaynaud’s symptoms กด ด รป บบทร บอ ก ร จ รยกว Raynaud’s Disease 2 มทร บตของก ร กด รค จ รยกวRaynaud’s Phenomenonเ ตุนอต ยPrimary Raynaud’s phenomenon หือ Raynaud’s diseaseRaynaud’s Phenomenonเ ตุม ปร ก รจ กคว มดน น ลอด ลอด ดงขณ พกลดลงดน น ลอด ลอดขณ พก ท ปนผลม จ กอ ก ศท: Connective tissue disease – Polymyositis , Rheumatoid arthritis,SLE,น ว ยน อ ก ศ ยนทํ: Endocrine disorder – Hypothyroidism: Blood disorder – Polycythemia vera: Artery disease – Atherosclerosis, Buerger’s disease46Peripheral Vascular DiseaseVascular GangreneSummary DiagnosisICD-10I73.9Peripheral vascular diseasePeripheral arterial diseasePeripheral arterial occlusive diseaseI73.9I73.9I73.9Atherosclerosis of lower extremityBuerger’s diseaseThromboangiitis obliteransRaynuad’s phenomenonDM type 2 with peripheral arterial diseaseI70.2I73.1I73.1I73.0E11.5 I79.2นอกจ กนมพนธกบSummary Diagnosisล ย บ งชนดICD-10GangreneAtherosclerotic gangreneDiabetic gangreneR02I70.21E11.5Buerger’s diseaseThromboangiitis obliteransRaynuad’s phenomenonI73.1I73.1I73.0Vascular Gangrene Not Acute Limb IschemiaAdditional Code to identify severity of Ulcer L9747αลβตอน นองพมขน ก ร ดตวของ ลอด ลอด พมม กขน45Intermittent claudicationลอด ลอด ��รก สาเหุ่พบ่อยไ้แ่ก ร ดตวของ ลอด ลอดท พมม กขนจ กคว มScleroderma, Sjogren’s syndrome48ชอก ท กด นอต ยพบนอยอ ก ร จ รยกว Raynaud’s Disease 2 มทร � ไ่ทราบสาเหุSecondary Raynaud’s phenomenonกดก ร ขยวน ดอนกนย ยน ล ตล คมRaynaud’s symptoms กด ด รป บบตของก ร กด รค ล: Neoplastic disorder – Carcinoid syndrome, Paraneoplastic syndromeล ย บ งชนดผปวยบ งคนมอ ก รซดรนปตอม กยงกดก ร ขยวนพทยชวทย นพนธของ ข วมทร บ ต ล ก ร พทย นปจจบนก มทร บ ตของ รคท นชด มอน ชนด คยกล ว ว ร บบ ล วยน ลอด กดคว มผดปกตซงมผลตอมอ ล ท ม ลอด ป ลยง มนอต ยMaurice Raynaud (1862)นป ค ศผปวยบ งคนมอ ก รซดรน รงทนวมอ นว ท บ งครงพบท ลยง
Acute Limb IschemiaAcute Limb IschemiaArterial thrombosis: Atherosclerosis: Aneurysm: Bypass graft: TraumaI74.2I74.3I74.4I74.5I74.8I74.9Arterial embolism: Cardiac embolism: Atherosclerosis: Aneurysm: IdiopathicI77aortaEmbolism and thrombosis of arteries of upper extremitiesEmbolism and thrombosis of arteries of lower extremitiesEmbolism and thrombosis of arteries of extremities,unspecifiedPeripheral arterial embolismEmbolism and thrombosis of iliac arteryEmbolism and thrombosis of other arteriesEmbolism and thrombosis of unspecified arteryOther disorders of arteries and arterioles4950Acute Arterial OcclusionPeripheral Vascular ProceduresSummary DiagnosisGangreneAtherosclerotic gangreneICD-10R02I70.21Open procedureSurgical thrombectomySurgical embolectomyPeripheral vascular diseasePeripheral arterial diseasePeripheral arterial occlusive diseaseI73.9I73.9I73.9Atherosclerosis of lower extremityI70.2-EndarterectomyThromboangiitis obliteransRaynuad’s phenomenonI73.1I73.0Arterial bypass51Endovascular procedureCatheter-directed thrombolysisPercutaneous aspiration thrombectomyPercutaneous mechanical thrombectomyRheolytic thrombectomyEndovascular stent52
Peripheral Vascular ProceduresPeripheral Vascular ProceduresEndarterectomySummary ProcedureICD-9-CMAddition CodeEndarterectomy38.1x: number of vesselsArterial bypassAortoiliac bypassAortofemoral bypassIliofemoral bypassFemorofemoral bypassFemoropopliteal bypassFemorotibial bypassFemoroperineal bypassAxillofemoral 9: on bifurcationArterial bypass: Aortofemoral bypass: Femoropopliteal bypass: Femorotibial bypass: Femorofemoral bypass: Axillofemoral bypassEndarterectomyArterial bypass#include:Patch graft, Thrombectomy, Temporary shunt5354Peripheral Vascular ProceduresPeripheral Vascular ProceduresAspiration thrombectomySurgical thrombectomyMechanical thrombectomyRheolytic thrombectomyEndovascular stentSurgical embolectomy5556
vqpukn"*4:09 "Gzenwfgu "tgrncegogpv"qh"xguugn/vq/xguugn"ecppwnc *5;0;6 Gzenwfgu "vjcv"ykvj"tgrncegogpv"]tgxkukqp̲"qh"ujwpv *5;064 Peripheral Vascular ProceduresSummary Catheter-directed thrombolysis39.50 99.10Percutaneous transluminal angioplastyCatheter thrombectomyAspiration thrombectomyRheolytic thrombectomyEndovascular non-drug-eluting stentsEndovascular drug-eluting stentsInjection of thrombolytic agentEndovascular djunct Vascular Procedures3 9 .5 0 A n g i o p l a s t y o r a t h e r e c t o m y o f o t h e r n o n - c o r o n a r y v e s s e l( s) Percutaneous transluminal angioplasty (PTA) of non- coronary vessels:Lower extremity vesselsMesenteric arteryRenal arteryUpper extremity vesselsCode also any:injection or infusion of thrombolytic agent (99.10)Insertion of non- drug- eluting peripheral vessel stent(s) or stentgrafts(s) (39.90)percutaneous insertion of carotid artery stent(s) (00.63)number of vascular stents inserted (00.45- 00.48)number of vessels treated (00.40- 00.43)procedure on vessel bifurcation (00.44)insertion of drug- eluting peripheral vessel stent (00.55)Gzenwfgu gdtcn"qt"egtgdtcn"xguugn*u *22083"/22084 Gzenwfgu "enkrrkpi"qh"ctvgtkqxgpqwu"hkuvwnc"*5;075 KEF/;/EO"VCDWNCT"NKUV"QH"RTQEGFWTGU"*H[32 "5758KEF/;/EO"VCDWNCT"NKUV"QH"RTQEGFWTGU"*H[32 "-Adjunct Vascular Proceduresother removal of coronary artery obstruction (36.09)0 0 .4 0 Pr o c e d u r e o n s i n g l e v e s s e lNumber of vessels, unspecifiedGzenwfgu """*cqtvq "eqtqpct{"d{rcuu"*58032" "5803; 4; "0 0 .4 1 Pr o c e d u r e o n t w o v e s s e l sGzenwfgu ""*cqtvq "eqtqpct{"d{rcuu"*58032" "5803; 4; "0 0 .4 2 Pr o c e d u r e o n t h r e e v e s s e l s̋"Gpfqxcuewnct"godqnk cvkqp"qt"qeenwukqp" wfgu ""*cqtvq "eqtqpct{"d{rcuu"*58032" "5803; 4; "0 0 .4 3 Pr o c e d u r e o n f o u r o r m o r e v e s s e l sGzenwfgu ""*cqtvq "eqtqpct{"d{rcuu"*58032" "5803; 4; "0 0 .4 4 Pr o c e d u r e o n v e s s e l b i f u r c a t i o n)" 032098" Gpfqxcuewnct"godqnk kpi"dkqcevkxg"eqknu"Note: This code is to be used to identify the presence of a vesselbifurcation; it does not describe a specific bifurcation stent.Use this code only once per operative episode, irrespective ofthe number of bifurcations in vessels.KKKYktnhL kkQKK"59-n33vnqxcuewnct"eqkn"godqnk cvkqp"ku"c"okpkocnn{"333 )nn 3333)3"x"yc nn" ygcmpguugu"vjcv"tguwnv"kp" fkncvkqp"cpf"n33knn̋ ) kpi"qh"c"dnqqf"xguugn0" Nghv"wpvtgcvgf."cp"nnn Adjunct Vascular Procedures3 9 .7 9 O t h e r e n d o v a s c u l a r p r o c e d u r e s o n o t h e r v e s s e l s Other coil embolization or occlusionEndograft(s)Endovascular graft(s)Liquid tissue adhesive (glue) embolization or ther implant or substance for repair, embolization or occlusionRepair of aneurysmGzenwfgu "cdfqokpcn"cqtvke"cpgwt{uo"tgugevkqp"]CCC̲"*5:066 5;093 "gpfqxcuewnct"godqnk kfgf"htqo"vjg"gpvt{"xguugn"vq"vjg"ukvg"qh"xguugnu ."dctg"ogvcn"eqknu"*5;097 "gpfqxcuewnct"godqnk ."dkqcevkxg"eqknu"*5;098 v*u "*22077 u "*hqt"vq" uvqr"dnqqf"hnqy"vq"cp"cpgwt{uo." qt"ctvgtkqxgpqwu"qvjgt"vjcp"cpgwt{uo"tgrckt "*5;0;2 *5;075 ;04; "ku" tgoqxgf" "cpgwt{uo"tgugevkqp"*5:067 "vtcpuecvjgvgt"godqnk g"5;09;"vq"tgrqtv"gpfqxcuewnct"rtqegfwtgu."*66066 "kpenwfkpi"eqkn"godqnk cvkqp"qp"xguugnu"qvjgt"vjcp"vjg"60jgcf"cpf"pgem0 )"
Millard-Gubler syndrome Diplopia with facial paresis Contralateral hemiparesis 15 Vertebral Artery Stroke Syndrome Internal Carotid Artery Symptoms Weber’s syndrome Ipsilateral mydriasis, CN III palsy and ptosis Contralateral hemiplegia Benedikt’s syndrome Ipsilateral oculomotor effect as inWeber’s syndrome
Other Cerebrovascular accident 1,272 6% 63,826,465 50,178 Total 21,867 100% 881,973,014 40,334 VHI; Cerebrovascular Accident defined as having a primary diagnosis code between 430 and 438 Definitions: Cerebrovascular Disease (CVD) - a group of brain dysfunctions related to disease of the blood vessels supplying the brain.
Stroke is a major cerebrovascular disease resulting in high mortality and persistent disability in adults across the world. Besides coronary heart disease and cancer, stroke is the commonest cause of death in most industrialized countries [1]. Cerebrovascular accidents (CVAs) are the fifth leading
Atherosclerotic Disease is a Pan Vascular Process Coronary Artery Disease (CAD) Non-coronary Atherosclerosis -Peripheral Artery Disease (PAD) -Lower extremity -Upper extremity (subclavian stenosis) -Carotid artery disease -Renal artery disease -Mesenteric artery disease -Aortic aneurysm -Vasculogenic Erectile Dysfunction Vascular disease is
Peripheral Vascular Disease (PVD) Imaging Guidelines . PVD -2: Screening for Suspected Peripheral Artery Disease/Aneurysmal Disease 10 PVD -3: Cerebrovascular a nd Carotid Disease 14 . The TBI (toe-brachial index) is used to establish the diagnosis of PAD in the setting of non-compressible arteries (ABI 1.40) and may also be used to assess .
3. Systemic Disease a. Poorly controlled hypertension, blood lipids b. Other diabetic complications (Cardiac disease, cerebrovascular Disease, Renal disease) c. Foot Ulcers (Neuropathy, Peripheral Vascular Disease) 4. Indigenous or from a Non-English speaking background Abbreviations: DR - Diabetic Retinopathy Hb - Haemorrhages Hex - Hard .
the incidence of first and recurrent clinical events due to coronary heart disease (CHD), cerebrovascular disease (CeVD) and peripheral vascular disease in two categories of people. They include; 1. People with risk factors who have not yet developed clinically manifest cardiovascular disease (primary prevention).1 2.
ICD-10 Codes for Non-Emergencies Stroke I67.89 Other cerebrovascular disease I69.91 Cognitive deficits following unspecified cerebrovascular . Special Positioning and Unable to Ambulate L89.133 Pressure ulcer or right lower back, stage 3
ASME NQA-1–2019 (Revision of ASME NQA-1–2017) Quality Assurance Requirements for Nuclear Facility Applications AN AMERICAN NATIONAL STANDARD x This is a preview of "ASME NQA-1-2019".
