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ICD-10 Coding for Personal History of Stroke(Z86.73, I69.351)

Complete ICD-10-CM coding and documentation guide for Personal History of Stroke. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

History of StrokePrevious StrokePast Stroke Event

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Related ICD-10 Code Ranges

Complete code families applicable to Personal History of Stroke

Z86.73Primary Range

Personal history of transient ischemic attack (TIA) and cerebral infarction without residual deficits

Used for documenting a past stroke or TIA when there are no residual deficits.

I69.-

Sequelae of cerebrovascular disease

Used for documenting residual deficits following a stroke.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
Z86.73Personal history of transient ischemic attack (TIA) and cerebral infarction without residual deficitsUse when documenting a past stroke or TIA with no residual deficits.
  • Imaging confirming prior infarct
  • Absence of deficits on neurological exam
I69.351Hemiplegia and hemiparesis following cerebral infarction affecting right dominant sideUse for documenting residual hemiplegia following a stroke.
  • Neurologist’s linkage of deficit to stroke
  • Laterality documented

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for personal history of stroke

Essential facts and insights about Personal History of Stroke

The ICD-10 code for personal history of stroke without residual deficits is Z86.73. It is used when documenting a past stroke or TIA with no ongoing symptoms.

Primary ICD-10-CM Codes for personal history of stroke

Z86.73
Personal history of transient ischemic attack (TIA) and cerebral infarction without residual deficits
Billable Code

Decision Criteria

clinical Criteria

  • No residual deficits present

coding Criteria

  • Past stroke or TIA with no current symptoms

Applicable To

  • History of TIA
  • History of cerebral infarction without residuals

Excludes

  • Current cerebrovascular disease (I60-I69)

Clinical Validation Requirements

  • Imaging confirming prior infarct
  • Absence of deficits on neurological exam

Code-Specific Risks

  • Incorrectly using this code when residual deficits are present

Coding Notes

  • Ensure documentation explicitly states 'no residual deficits'.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Family history of stroke

Z82.3
Use for documenting family history of stroke.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Cerebral infarction

I63.-
Used during the acute phase of a stroke.

Personal history of TIA and cerebral infarction without residual deficits

Z86.73
Used when no residual deficits are present.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Personal History of Stroke to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.73.

Impact

Clinical: May lead to inappropriate treatment plans, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims

Mitigation Strategy

Ensure documentation specifies 'no residual deficits', Use templates for consistency

Impact

Reimbursement: May lead to incorrect billing and reimbursement issues, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate patient records

Mitigation Strategy

Transition to Z86.73 or I69.- after acute care

Impact

Using acute stroke codes post-discharge can trigger audits.

Mitigation Strategy

Ensure transition to Z86.73 or I69.- after acute phase.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Personal History of Stroke, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Personal History of Stroke

Use these documentation templates to ensure complete and accurate documentation for Personal History of Stroke. These templates include all required elements for proper coding and billing.

Neurology Follow-Up

Specialty: Neurology

Required Elements

  • History of stroke
  • Current neurological status
  • Imaging results

Example Documentation

Patient presents for follow-up after 2023 stroke. No residual deficits. MRI confirms chronic infarct.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Stroke in 2023, now stable.
Good Documentation Example
Personal history of cerebral infarction (03/2023) without residual deficits per neurology clearance.
Explanation
The good example provides specific details about the absence of residual deficits and the date of the event.

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