CVA and hyperhomocysteinemia

Dear All,

I need you kind help in understanding the below scenario.

The patient admitted with CVA with history of DM and HTN.

MRI confirmed the CVA.

Discharge List: CVA, hyperhomocysteinemia, DM, HTN.

The physician is documenting hyperhomocysteinemia in discharge summary with a supported laboratory finding.

As we know the hyperhomocysteinemia is a risk factor for CVA can we code this along with CVA or we can consider this as a sign of CVA and ignore it?

For your kind information, there are vitamins (folic acid) given for this condition.

When we add the hyperhomocysteinemia (270.4)as an additional diagnosis, which results a higher level DRG, because ?hyperhomocysteinemia? falls under CC list.

CVA and hyperhomocysteinemia