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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 6: Diseases of the nervous systemG45

G45

Billable

Transient cerebral ischemic attacks and related syndromes

Chapter 6:Diseases of the nervous system

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G45 is a billable code used to indicate a diagnosis of transient cerebral ischemic attacks and related syndromes.

Key Diagnostic Point:

Transient cerebral ischemic attacks (TIAs) are temporary episodes of neurological dysfunction caused by a brief interruption in the blood supply to the brain. These episodes typically last less than 24 hours, often resolving within minutes to hours, and are characterized by symptoms such as sudden weakness, numbness, difficulty speaking, or loss of vision. TIAs serve as critical warning signs for potential future strokes, as they indicate underlying vascular disease. The pathophysiology involves transient occlusion of cerebral arteries, often due to emboli or thrombi. Risk factors include hypertension, diabetes, hyperlipidemia, smoking, and atrial fibrillation. Effective management focuses on identifying and modifying these risk factors to prevent subsequent strokes. This includes lifestyle changes, antiplatelet therapy, and sometimes anticoagulation, depending on the underlying cause. Accurate coding of TIAs is essential for appropriate treatment and preventive measures, as well as for healthcare reimbursement and quality reporting.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between TIA and stroke symptoms
  • Need for precise documentation of symptom duration
  • Understanding of risk factors and their management
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of symptom duration
  • Failure to document risk factors
  • Misclassification of TIA as a stroke
  • Lack of follow-up care documentation

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed history of symptoms, duration, and risk factors; imaging results; treatment plans.

Common Clinical Scenarios

Patients presenting with sudden onset of neurological deficits that resolve quickly.

Billing Considerations

Ensure clarity in documentation to differentiate between TIA and stroke.

Primary Care

Documentation Requirements

Comprehensive assessment of cardiovascular risk factors, patient history, and follow-up plans.

Common Clinical Scenarios

Patients with risk factors presenting with transient neurological symptoms.

Billing Considerations

Focus on preventive measures and patient education.

Coding Guidelines

Inclusion Criteria

Use G45 When
  • Follow ICD
  • CM guidelines for coding TIAs, ensuring accurate documentation of symptoms and duration
  • Include relevant risk factors and any diagnostic imaging results

Exclusion Criteria

Do NOT use G45 When
  • Exclude codes for conditions that do not meet the criteria for TIA

Related CPT Codes

70450CPT Code

CT head without contrast

Clinical Scenario

Used to rule out stroke in patients presenting with TIA symptoms.

Documentation Requirements

Document indication for imaging and results.

Specialty Considerations

Neurology may require additional imaging based on findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of TIAs, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of TIAs, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the importance of detailed documentation.

Resources

Clinical References

  • •
    American Academy of Neurology - TIA Guidelines

Coding & Billing References

  • •
    American Academy of Neurology - TIA Guidelines

Frequently Asked Questions

What is the difference between a TIA and a stroke?

A TIA is a temporary episode of neurological dysfunction that resolves within 24 hours, while a stroke results in permanent damage to brain tissue.