Re: New Onset CVA

[KDeniseSRN]

Can anyone give me source documentation on the below. I am not where I keep this information and the discussion I am having is not going over well. Any help with this would be greatly appreciated. They will not use V codes even when appropriate and they are using 436 on every new CVA. What they are saying is that we are suppose to use a diagnosis that the resident was treated for in the hospital and these residents still need treatment for their CVA because it is so new. Thanks again group. You are the bestest. It is my understanding that if the CVA was treated in a hospital then 436 cannot be used in the SNF setting.....you would use the 438 ( Late effects of cerebrovascular disease) codes...438 requires 4 and/or 5th digits.   Yes, V codes may be used as primary codes. CMS has told the FI's to update their systems to accept V codes as primary.....use them and see if they work when billed as primary or call your FI to see if they now will accept them.