Performance Measurement Network

Question: Stroke Diagnosed Mid-Hospital Stay

Can a delayed stroke diagnosis identified 6 days after admission considered a reason for not administerin anti-thrombotics by day 2 after admission? The primary coded diagnosis is I639.

Answer:

Tina, Delayed stroke diagnosis is not an acceptable "Reason for Not Administering Antithrombotic Therapy By End of Hospital Day 2" when the ICD-10-CM Principal Diagnosis Code assigned at discharge is ischemic stroke. Select "No" in the absence of a documented reason by MD/ APN/PA or pharmacist on the day of or day after hospital arrival.

Thank you for your inquiry.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK-5, Reason for Not Administering Antithrombotic Therapy by End of Hospital Day 2,
Manual: Current Manual (current data collection period; prior to data transmission)

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