NIHSS score 5
ICD-10 R29.705 is a billable code used to indicate a diagnosis of nihss score 5.
The NIHSS (National Institutes of Health Stroke Scale) score of 5 indicates a moderate stroke severity, reflecting significant neurological impairment. Patients scoring 5 may exhibit symptoms such as unilateral weakness, facial droop, and difficulty with speech or comprehension. This score is derived from a comprehensive assessment of various neurological functions, including consciousness, vision, motor function, and sensory perception. A score of 5 suggests that the patient may have some functional independence but requires close monitoring and potential intervention. Common causes of such a score include ischemic strokes, hemorrhagic strokes, or transient ischemic attacks (TIAs). The clinical context for this score is critical, as it guides treatment decisions and prognostic evaluations. Accurate documentation of the patient's neurological status, including specific deficits and their impact on daily activities, is essential for appropriate coding and management.
Detailed documentation of neurological examination findings, including specific deficits and their impact on the patient's daily life.
Patients presenting with stroke symptoms in an outpatient or inpatient setting, requiring assessment of neurological function.
Consideration of comorbidities that may affect the NIHSS score and overall patient management.
Acute care documentation must include time of onset, NIHSS score, and immediate interventions performed.
Patients arriving at the emergency department with acute stroke symptoms needing rapid assessment and intervention.
Timeliness of documentation is critical; ensure that the NIHSS score is recorded promptly to guide treatment decisions.
Used when a patient with a NIHSS score of 5 presents to the emergency department for acute stroke management.
Document the patient's presenting symptoms, NIHSS score, and any interventions performed.
Emergency medicine providers should ensure timely documentation to support the level of service billed.
An NIHSS score of 5 indicates moderate neurological impairment, often associated with significant stroke symptoms that may require intervention and monitoring.
