Cerebrovascular Disease ICD 9 Codes (430-438)

CEREBROVASCULAR DISEASE (ICD 9 CODES: 430-438)

Includes:    with mention of hypertension (conditions classifiable to 401-405)

Use additional code to identify presence of hypertension

Excludes:   any condition classifiable to 430-434, 436, 437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal (674.0)

iatrogenic cerebrovascular infarction or hemorrhage (997.02)

430       Subarachnoid hemorrhage

Meningeal hemorrhage

Ruptured:

berry aneurysm

(congenital) cerebral aneurysm NOS

Excludes:    berry aneurysm, nonruptured (437.3)

syphilitic ruptured cerebral aneurysm (094.87)

431       Intracerebral hemorrhage

Hemorrhage (of):

basilar

bulbar

cerebellar

cerebral

cerebromeningeal

cortical

internal capsule

intrapontine

pontine

subcortical

ventricular

Rupture of blood vessel in brain

432       Other and unspecified intracranial hemorrhage

432.0    Nontraumatic extradural hemorrhage

Nontraumatic epidural hemorrhage

432.1    Subdural hemorrhage

Subdural hematoma, nontraumatic

432.9    Unspecified intracranial hemorrhage

Intracranial hemorrhage NOS

433       Occlusion and stenosis of precerebral arteries

The following fifth-digit subclassification is for use with category 433:

0 without mention of cerebral infarction

1 with cerebral infarction

Includes:     embolism of basilar, carotid, and vertebral arteries

narrowing of basilar, carotid, and vertebral arteries

obstruction of basilar, carotid, and vertebral arteries

thrombosis of basilar, carotid, and vertebral arteries

Use additional code, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission

to current facility (V45.88)

Excludes:    insufficiency NOS of precerebral arteries (435.0-435.9)

433.0    Basilar artery

[0-1]

433.1    Carotid artery

[0-1]

433.2    Vertebral artery

[0-1]

433.3    Multiple and bilateral

[0-1]

433.8    Other specified precerebral artery

[0-1]

433.9    Unspecified precerebral artery

[0-1]

Precerebral artery NOS

434       Occlusion of cerebral arteries

The following fifth-digit subclassification is for use with category 434:

0 without mention of cerebral infarction

1 with cerebral infarction

Use additional code, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission

to current facility (V45.88)

434.0    Cerebral thrombosis

[0-1]

Thrombosis of cerebral arteries

434.1    Cerebral embolism

[0-1]

434.9    Cerebral artery occlusion, unspecified

[0-1]

435       Transient cerebral ischemia

Includes:     cerebrovascular insufficiency (acute) with transient focal neurological signs and symptoms

insufficiency of basilar, carotid, and vertebral arteries

spasm of cerebral arteries

Excludes:    acute cerebrovascular insufficiency NOS (437.1)

that due to any condition classifiable to 433 (433.0-433.9)

435.0    Basilar artery syndrome

435.1    Vertebral artery syndrome

435.2    Subclavian steal syndrome

435.3    Vertebrobasilar artery syndrome

435.8    Other specified transient cerebral ischemias

435.9    Unspecified transient cerebral ischemia

Impending cerebrovascular accident

Intermittent cerebral ischemia

Transient ischemic attack [TIA]

436       Acute, but ill-defined, cerebrovascular disease

Apoplexy, apoplectic:

NOS

attack

cerebral

seizure

Cerebral seizure

Excludes:    any condition classifiable to categories 430-435

cerebrovascular accident (434.91)

CVA (ischemic) (434.91)

embolic (434.11)

hemorrhagic (430, 431, 432.0-432.9)

thrombotic (434.01)

postoperative cerebrovascular accident (997.02)

stroke (ischemic) (434.91)

embolic (434.11)

hemorrhagic (430, 431, 432.0-432.9)

thrombotic (434.01)

437       Other and ill-defined cerebrovascular disease

437.0    Cerebral atherosclerosis

Atheroma of cerebral arteries

Cerebral arteriosclerosis

437.1    Other generalized ischemic cerebrovascular disease

Acute cerebrovascular insufficiency NOS

Cerebral ischemia (chronic)

437.2    Hypertensive encephalopathy

437.3    Cerebral aneurysm, nonruptured

Internal carotid artery, intracranial portion

Internal carotid artery NOS

Excludes: congenital cerebral aneurysm, nonruptured (747.81)

internal carotid artery, extracranial portion (442.81)

437.4    Cerebral arteritis

437.5    Moyamoya disease

437.6    Nonpyogenic thrombosis of intracranial venous sinus

Excludes: pyogenic (325)

437.7    Transient global amnesia

437.8    Other

437.9    Unspecified

Cerebrovascular disease or lesion NOS

438       Late effects of cerebrovascular disease

Note:    This category is to be used to indicate conditions in 430-437 as the cause of late effects.  The "late effects" include conditions specified as such, or as sequelae, which may occur at any time after the onset of the causal condition.

Excludes:    personal history of:

cerebral infarction without residual deficits (V12.54)

PRIND (Prolonged reversible ischemic neurologic deficit) (V12.54)

RIND (Reversible ischemic neurological deficit) (V12.54)

transient ischemic attack (TIA) (V12.54)

438.0    Cognitive deficits

438.1    Speech and language deficits

438.10  Speech and language deficit, unspecified

438.11  Aphasia

438.12  Dysphasia

438.13  Dysarthria

438.14  Fluency disorder

Stuttering due to late effect of cerebrovascular accident

438.19  Other speech and language deficits

438.2    Hemiplegia/hemiparesis

438.20  Hemiplegia affecting unspecified side

438.21  Hemiplegia affecting dominant side

438.22  Hemiplegia affecting nondominant side

438.3    Monoplegia of upper limb

438.30  Monoplegia of upper limb affecting unspecified side

438.31  Monoplegia of upper limb affecting dominant side

438.32  Monoplegia of upper limb affecting nondominant side

438.4    Monoplegia of lower limb

438.40  Monoplegia of lower limb affecting unspecified side

438.41  Monoplegia of lower limb affecting dominant side

438.42  Monoplegia of lower limb affecting nondominant side

438.5    Other paralytic syndrome

Use additional code to identify type of paralytic syndrome, such as:

locked-in state (344.81)

quadriplegia (344.00-344.09)

Excludes: late effects of cerebrovascular accident with:

hemiplegia/hemiparesis (438.20-438.22)

monoplegia of lower limb (438.40-438.42)

monoplegia of upper limb (438.40-438.42)

438.50  Other paralytic syndrome affecting unspecified side

438.51  Other paralytic syndrome affecting dominant side

438.52  Other paralytic syndrome affecting nondominant side

438.53  Other paralytic syndrome, bilateral

438.6    Alterations of sensations

Use additional code to identify the altered sensation

438.7    Disturbances of vision

Use additional code to identify the visual disturbance

438.8    Other late effects of cerebrovascular disease

438.81  Apraxia

438.82  Dysphagia

Use additional code to identify the type of dysphagia, if known (787.20-787.29)

438.83  Facial weakness

Facial droop

438.84  Ataxia

438.85  Vertigo

438.89  Other late effects of cerebrovascular disease

Use additional code to identify the late effect

438.9    Unspecified late effects of cerebrovascular disease