NIHSS score 18
ICD-10 R29.718 is a billable code used to indicate a diagnosis of nihss score 18.
The NIHSS (National Institutes of Health Stroke Scale) score of 18 indicates a severe stroke with significant neurological impairment. This score reflects a range of symptoms including but not limited to altered consciousness, severe motor deficits, and expressive aphasia. Patients scoring 18 typically exhibit profound weakness on one side of the body, difficulty in speech, and may have visual field deficits. The NIHSS is a critical tool used to assess the severity of stroke and guide treatment decisions. A score of 18 suggests that the patient is at high risk for complications and may require intensive monitoring and intervention. Accurate assessment and documentation of the patient's neurological status are essential for appropriate coding and treatment planning.
Comprehensive documentation of neurological assessments, including NIHSS scoring and any changes in patient status.
Patients presenting with acute stroke symptoms, requiring hospitalization and monitoring.
Ensure that all neurological deficits are documented to support the NIHSS score and justify the level of care.
Detailed documentation of initial assessment, NIHSS score, and any interventions performed.
Patients arriving at the emergency department with acute stroke symptoms, requiring immediate evaluation and treatment.
Timeliness of documentation is critical; ensure that all assessments are recorded promptly to support coding.
Used when a patient with a NIHSS score of 18 is evaluated in the emergency department.
Document the severity of symptoms and the NIHSS score to justify the level of service.
Emergency medicine providers should ensure timely documentation of assessments.
An NIHSS score of 18 indicates severe neurological impairment, suggesting significant deficits in motor function, speech, and consciousness, requiring urgent medical intervention.