NIHSS score 20
ICD-10 R29.720 is a billable code used to indicate a diagnosis of nihss score 20.
The NIHSS (National Institutes of Health Stroke Scale) score of 20 indicates a severe level of neurological impairment due to a stroke. 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 20 suggests significant deficits in these areas, which may include severe aphasia, hemiparesis, or neglect. Patients with such a score often require immediate medical intervention and intensive rehabilitation services. The NIHSS is a critical tool used in both acute and post-acute settings to evaluate the severity of a stroke and to guide treatment decisions. It is essential for coders to understand the implications of this score, as it reflects not only the clinical status of the patient but also influences the coding of associated conditions and the level of care required.
Detailed documentation of neurological assessments, including NIHSS scores and any associated findings.
Patients presenting with acute stroke symptoms requiring hospitalization and management.
Ensure that all relevant comorbidities and complications are documented to support the severity of the condition.
Immediate documentation of NIHSS scores upon patient presentation and any interventions performed.
Acute stroke presentations requiring rapid assessment and treatment.
Timeliness of documentation is critical; ensure that all assessments are recorded promptly to support coding.
Used when a patient with a NIHSS score of 20 presents to the emergency department.
Document the severity of symptoms, NIHSS score, and any interventions performed.
Emergency medicine providers should ensure timely and accurate documentation to support the level of service billed.
An NIHSS score of 20 indicates severe neurological impairment, suggesting significant deficits in motor function, language, and other cognitive abilities, typically associated with a major stroke.
