Performance Measurement Network

Question: Admitted for elective carotid intervention

This is follow up to a prior question: "ICD-9-CM Code 433.10 ";.

Question 1: Would I answer "YES" for the data element "admitted for elective carotid intervention" if the patient had a TIA post procedure that resolved completely and the patient was sent home within 4 days?

Question 2: If a patient is admitted with syncope and an acute stroke is ruled out, but the patient is found to have carotid stenosis and has an ICD-9-CM diagnosis code of 433.10, would this patient be required to have stroke education?


Only those patients assigned an ICD-9-CM Principal Diagnosis Code for ischemic or hemorrhagic stroke are included in the measure population. TIA patients are not included in the stroke measure population. There are codes available specific for TIA.

If, however, both patients in the examples had a principal discharge diagnosis of 433.10, then you would select "Yes" for the first case, if the patient was admitted for the performance of the carotid procedure. The TIA event after the procedure is irrelevant to the calculation flow logic for the measure.

In the second case, you would include the patient in the denominator population for Stroke Education if 433.10 was coded as the principal discharge diagnosis. This patient should have received stroke education during the inpatient hospital stay, unless the patient was excluded from the measure population for some other reason (e.g., discharge status).

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical, Related Manual - Data Quality Manual
Related documents: STK, ICD-9-CM Principal Diagnosis Code, Appendix: Code tables

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