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v1.0.0
ICD-10 Guide
ICD-10 CodesR29.714

R29.714

NIHSS score 14

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

Code Description

ICD-10 R29.714 is a billable code used to indicate a diagnosis of nihss score 14.

Key Diagnostic Point:

The NIHSS (National Institutes of Health Stroke Scale) score of 14 indicates a moderate to 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 14 suggests that the patient may exhibit symptoms such as moderate weakness in one or more limbs, difficulty with speech or understanding language, and potential visual field deficits. The NIHSS is crucial for determining the severity of a stroke and guiding treatment decisions, including the need for thrombolysis or other interventions. Accurate scoring is essential for effective patient management and prognosis assessment, as it helps clinicians evaluate the extent of brain injury and recovery potential. This code captures the clinical significance of the NIHSS score in the context of stroke management and highlights the need for thorough documentation of neurological findings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in scoring based on clinician assessment
  • Need for precise documentation of neurological deficits
  • Differentiation between stroke types (ischemic vs. hemorrhagic)
  • Potential for overlapping symptoms with other neurological conditions

Audit Risk Factors

  • Inconsistent documentation of neurological assessments
  • Failure to capture all relevant symptoms contributing to the score
  • Misinterpretation of NIHSS scoring criteria
  • Inadequate linkage between the NIHSS score and treatment provided

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with stroke symptoms, requiring assessment and management of comorbid conditions.

Billing Considerations

Consideration of chronic conditions that may affect stroke presentation and recovery.

Emergency Medicine

Documentation Requirements

Immediate and thorough documentation of NIHSS assessment upon patient arrival, including time of onset and treatment decisions.

Common Clinical Scenarios

Acute stroke presentations requiring rapid intervention and assessment.

Billing Considerations

Focus on time-sensitive interventions and accurate scoring to facilitate treatment protocols.

Coding Guidelines

Inclusion Criteria

Use R29.714 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the NIHSS score is documented accurately and reflects the patient's clinical status
  • Use additional codes to capture specific symptoms or conditions as needed

Exclusion Criteria

Do NOT use R29.714 When
No specific exclusions found.

Related CPT Codes

99285CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient with a NIHSS score of 14 presents to the ER.

Documentation Requirements

Document the severity of symptoms and NIHSS score in the medical record.

Specialty Considerations

Emergency medicine providers should ensure timely documentation to support coding.

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 and associated symptoms, improving the accuracy of clinical data and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of stroke severity and associated symptoms, improving the accuracy of clinical data and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of stroke severity and associated symptoms, improving the accuracy of clinical data and treatment planning.

Resources

Clinical References

  • •
    NIH Stroke Scale Training

Coding & Billing References

  • •
    NIH Stroke Scale Training

Frequently Asked Questions

What does an NIHSS score of 14 indicate?

An NIHSS score of 14 indicates moderate to severe neurological impairment, suggesting significant deficits in motor function, speech, or sensory perception, which may require urgent medical intervention.