Transient cerebral ischemic attacks and related syndromes
Chapter 6:Diseases of the nervous system
ICD-10 G45 is a billable code used to indicate a diagnosis of transient cerebral ischemic attacks and related syndromes.
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.
Detailed history of symptoms, duration, and risk factors; imaging results; treatment plans.
Patients presenting with sudden onset of neurological deficits that resolve quickly.
Ensure clarity in documentation to differentiate between TIA and stroke.
Comprehensive assessment of cardiovascular risk factors, patient history, and follow-up plans.
Patients with risk factors presenting with transient neurological symptoms.
Focus on preventive measures and patient education.
Used to rule out stroke in patients presenting with TIA symptoms.
Document indication for imaging and results.
Neurology may require additional imaging based on findings.
A TIA is a temporary episode of neurological dysfunction that resolves within 24 hours, while a stroke results in permanent damage to brain tissue.