A diagnosis-to-service map for stroke bills and denials.
Start with the codes and service categories that commonly appear in stroke care, then follow the evidence and documents needed when a claim is denied.
Stroke seed taxonomy
- I60-I62 hemorrhagic stroke
- I63 cerebral infarction
- I64 unspecified stroke
- I69 stroke sequelae
- I10, E11, I48, E78 risk factors
- R13, R47, R26, M62.81 rehab drivers
Bill-line categories
- Ambulance and transport
- Emergency department services
- CT, CTA, MRI, ultrasound, and labs
- Thrombolysis, thrombectomy, ICU monitoring
- PT, OT, speech therapy, and home health
- Walkers, wheelchairs, beds, and communication devices
Often billed with, may appear with, depends on documentation.
These examples are stored as relationship assertions with evidence links. They are not coverage guarantees or clinical advice.
Use mappings as anchors for what to request next.
Diagnosis/service mismatch
Request the itemized bill, EOB, denial letter, and the specific clinical document tied to the billed service.
Prior authorization problems
Request the itemized bill, EOB, denial letter, and the specific clinical document tied to the billed service.
Wrong care setting
Request the itemized bill, EOB, denial letter, and the specific clinical document tied to the billed service.
Timing rules
Request the itemized bill, EOB, denial letter, and the specific clinical document tied to the billed service.
Missing documentation
Request the itemized bill, EOB, denial letter, and the specific clinical document tied to the billed service.