NIHSS score 16
ICD-10 R29.716 is a billable code used to indicate a diagnosis of nihss score 16.
The NIHSS (National Institutes of Health Stroke Scale) score of 16 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, sensory perception, and visual fields. A score of 16 suggests that the patient exhibits considerable deficits, which may include aphasia, hemiparesis, and impaired coordination. The NIHSS is a critical tool in both the diagnosis and management of stroke, guiding treatment decisions and prognostic evaluations. Clinicians utilize this score to determine the severity of the stroke and to monitor changes in the patient's condition over time. Accurate documentation of the NIHSS score is essential for coding and billing purposes, as it directly influences the treatment protocols and potential reimbursement levels.
Detailed documentation of neurological assessments, including NIHSS scores, patient history, and treatment plans.
Patients presenting with acute stroke symptoms, requiring immediate assessment and intervention.
Ensure that all components of the NIHSS are documented to support the assigned score.
Acute care documentation must include time of onset, NIHSS score, and immediate interventions performed.
Patients arriving at the emergency department with sudden onset of neurological deficits.
Timeliness of documentation is critical; ensure that the NIHSS score is recorded promptly after assessment.
Used when a patient with a NIHSS score of 16 presents to the emergency department.
Document the patient's condition, NIHSS score, and treatment plan.
Emergency medicine specialists should ensure timely and accurate documentation.
An NIHSS score of 16 indicates moderate to severe neurological impairment, suggesting significant deficits that require urgent medical attention.