NIHSS score 28
ICD-10 R29.728 is a billable code used to indicate a diagnosis of nihss score 28.
The NIHSS (National Institutes of Health Stroke Scale) score of 28 indicates a severe stroke with significant neurological impairment. This score is derived from a comprehensive assessment of various neurological functions, including consciousness, language, motor skills, sensory perception, and visual fields. A score of 28 suggests that the patient exhibits profound deficits, such as severe aphasia, hemiplegia, and possibly altered consciousness. Patients with such high NIHSS scores are at increased risk for complications, including aspiration pneumonia, deep vein thrombosis, and further neurological deterioration. The clinical context for this code typically involves acute ischemic stroke or hemorrhagic stroke, where timely intervention is critical. Understanding the NIHSS score is essential for healthcare providers to gauge the severity of the stroke and to guide treatment decisions, rehabilitation planning, and prognostic discussions.
Detailed documentation of neurological assessments, including NIHSS components and any interventions.
Patients presenting with acute stroke symptoms, requiring hospitalization for management.
Ensure that all neurological deficits are documented to support the severity indicated by the NIHSS score.
Immediate and thorough documentation of the patient's neurological status upon arrival, including NIHSS scoring.
Acute stroke presentations requiring rapid assessment and intervention.
Timeliness of documentation is critical; ensure that all findings are recorded promptly to support coding.
Used when a patient with a NIHSS score of 28 is evaluated in the emergency department.
Document the complexity of the visit and the severity of the patient's condition.
Emergency medicine providers should ensure that all neurological assessments are clearly documented.
A NIHSS score of 28 indicates severe neurological impairment, often associated with significant deficits in motor function, speech, and consciousness, requiring urgent medical intervention.
