NIHSS score 23
ICD-10 R29.723 is a billable code used to indicate a diagnosis of nihss score 23.
The NIHSS (National Institutes of Health Stroke Scale) score of 23 indicates a severe stroke, reflecting significant neurological impairment. This score is derived from a comprehensive assessment of various neurological functions, including consciousness, language, motor skills, and sensory perception. A score of 23 suggests that the patient exhibits profound deficits, such as severe aphasia, hemiparesis, and possible loss of consciousness. Common causes of such a high NIHSS score include ischemic strokes, hemorrhagic strokes, or transient ischemic attacks (TIAs) that have resulted in significant neurological damage. The clinical context surrounding this score is critical for determining the appropriate treatment and management strategies, as patients with such high scores often require immediate intervention to minimize long-term disability. Accurate documentation of the NIHSS score and associated clinical findings is essential for coding and billing purposes, as it directly impacts the level of care provided and the reimbursement process.
Detailed documentation of neurological assessments, including NIHSS scores, patient history, and treatment plans.
Patients presenting with acute stroke symptoms, requiring hospitalization for management and monitoring.
Ensure that all neurological deficits are documented clearly to support the NIHSS score and subsequent coding.
Immediate documentation of NIHSS scores upon patient presentation, including vital signs and initial assessments.
Patients arriving at the emergency department with acute stroke symptoms, requiring rapid assessment and intervention.
Timeliness of documentation is critical; ensure that all assessments are recorded promptly to support coding.
Used when a patient with a high NIHSS score presents to the emergency department.
Documentation must reflect the severity of the condition and the complexity of medical decision-making.
Emergency medicine providers must ensure timely and accurate documentation to support the level of service billed.
An NIHSS score of 23 indicates severe neurological impairment, suggesting significant deficits in multiple areas such as motor function, language, and consciousness.