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v1.0.0
ICD-10 Guide
ICD-10 CodesR29.708

R29.708

NIHSS score 8

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R29.708 is a billable code used to indicate a diagnosis of nihss score 8.

Key Diagnostic Point:

The NIHSS (National Institutes of Health Stroke Scale) score of 8 indicates a moderate level of neurological impairment, typically associated with a stroke. This score reflects a range of symptoms including but not limited to motor function deficits, sensory loss, and potential language difficulties. Patients scoring 8 may exhibit unilateral weakness, facial droop, and difficulty with speech or comprehension. The NIHSS is a critical tool used in the assessment of stroke severity and helps guide treatment decisions. A score of 8 suggests that the patient may require urgent medical intervention and possibly rehabilitation services. It is essential for coders to understand the clinical implications of this score, as it directly correlates with the patient's prognosis and the level of care required.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of stroke symptoms
  • Need for precise documentation of neurological deficits
  • Potential overlap with other neurological conditions
  • Importance of accurate scoring for treatment decisions

Audit Risk Factors

  • Inadequate documentation of NIHSS scoring
  • Failure to link symptoms to the NIHSS score
  • Misinterpretation of the severity of symptoms
  • Inconsistent scoring by different clinicians

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed documentation of neurological assessments, including NIHSS scores and any associated symptoms.

Common Clinical Scenarios

Patients presenting with stroke symptoms in an outpatient or inpatient setting.

Billing Considerations

Ensure that all neurological deficits are documented to support the NIHSS score.

Emergency Medicine

Documentation Requirements

Immediate documentation of NIHSS score upon patient presentation and any changes during treatment.

Common Clinical Scenarios

Acute stroke presentations requiring rapid assessment and intervention.

Billing Considerations

Timeliness of documentation is critical; ensure that all assessments are recorded promptly.

Coding Guidelines

Inclusion Criteria

Use R29.708 When
  • Coders should refer to the official ICD
  • CM guidelines for coding and reporting, particularly those related to neurological conditions and stroke assessments
  • Accurate documentation of the NIHSS score and associated symptoms is crucial

Exclusion Criteria

Do NOT use R29.708 When
No specific exclusions found.

Related CPT Codes

99285CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient with an NIHSS score of 8 presents to the emergency department.

Documentation Requirements

Document the NIHSS score and associated symptoms clearly.

Specialty Considerations

Emergency medicine providers should ensure timely and accurate documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neurological conditions, including stroke severity assessments like the NIHSS. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neurological conditions, including stroke severity assessments like the NIHSS. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neurological conditions, including stroke severity assessments like the NIHSS. This specificity aids in better tracking of patient outcomes and resource allocation.

Resources

Clinical References

  • •
    NIH Stroke Scale Training

Coding & Billing References

  • •
    NIH Stroke Scale Training

Frequently Asked Questions

What does an NIHSS score of 8 indicate?

An NIHSS score of 8 indicates moderate neurological impairment, often associated with a stroke, requiring urgent medical attention and potential rehabilitation.