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v1.0.0
ICD-10 Guide
ICD-10 CodesR29.710

R29.710

NIHSS score 10

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

Code Description

ICD-10 R29.710 is a billable code used to indicate a diagnosis of nihss score 10.

Key Diagnostic Point:

The National Institutes of Health Stroke Scale (NIHSS) is a systematic assessment tool that provides a quantitative measure of stroke-related neurologic deficit. A score of 10 indicates moderate stroke severity, with the patient exhibiting significant impairment in motor function, sensory perception, and possibly language abilities. Common symptoms associated with this score may include unilateral weakness, facial droop, and difficulty with speech or comprehension. The NIHSS is crucial for determining the treatment plan and prognosis, as well as for assessing the efficacy of therapeutic interventions. Clinicians utilize this score to evaluate the extent of neurological impairment and to monitor changes over time, which is essential for effective patient management and rehabilitation planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation among patients
  • Need for precise documentation of neurological deficits
  • Potential overlap with other neurological conditions
  • Importance of accurate scoring for treatment decisions

Audit Risk Factors

  • Inconsistent documentation of NIHSS scores
  • Failure to capture all relevant neurological deficits
  • Misinterpretation of NIHSS scoring criteria
  • Inadequate linkage between clinical findings and coding

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed documentation of neurological assessments, including specific deficits and their impact on daily functioning.

Common Clinical Scenarios

Patients presenting with acute stroke symptoms, requiring NIHSS assessment for treatment planning.

Billing Considerations

Ensure that all neurological deficits are documented to support the NIHSS score and justify the medical necessity of interventions.

Emergency Medicine

Documentation Requirements

Immediate and thorough documentation of NIHSS scores upon patient presentation, including time of onset and any interventions initiated.

Common Clinical Scenarios

Acute stroke presentations requiring rapid assessment and intervention.

Billing Considerations

Timeliness of documentation is critical; ensure that the NIHSS score is recorded promptly to guide acute care decisions.

Coding Guidelines

Inclusion Criteria

Use R29.710 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the NIHSS score is documented accurately and reflects the patient's clinical status
  • Use R29
  • 710 when the NIHSS score is specifically noted as 10

Exclusion Criteria

Do NOT use R29.710 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 10 presents to the emergency department.

Documentation Requirements

Document the NIHSS score and clinical findings to support the level of service.

Specialty Considerations

Emergency medicine providers should ensure timely and accurate documentation of neurological assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of stroke severity, enhancing the ability to track outcomes and improve patient care. Accurate coding of NIHSS scores is essential for quality reporting and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of stroke severity, enhancing the ability to track outcomes and improve patient care. Accurate coding of NIHSS scores is essential for quality reporting and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    NIH Stroke Scale Training

Coding & Billing References

  • •
    NIH Stroke Scale Training

Frequently Asked Questions

What does an NIHSS score of 10 indicate?

An NIHSS score of 10 indicates moderate stroke severity, with significant neurological deficits that require careful assessment and management.