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.


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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