2019 ICD-10-CM Diagnosis Code R29.701 NIHSS score 1 2017 - New Code Billable/Specific Code ICD-10-CMR29.701is grouped within Diagnostic Related Group (s) (MS-DRG36.0): 951 Other factors influencing health status to ICD-9-CM Code History Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code.
R29.701 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R29.701 became effective on October 1, 2021. This is the American ICD-10-CM version of R29.701 - other international versions of ICD-10 R29.701 may differ.
The ICD-10-CM code book index entry is NIHSS (National Institutes of Health Stroke Scale) score R29.7- The NIHSS stroke score can be assigned based on provider or other clinicians’ documentation. A link is provided below for the criteria used in determining the NIH Stroke Scale score.
ICD-10 code R29. 7 for National Institutes of Health Stroke Scale (NIHSS) score is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Hospitals should report the first NIHSS, which is typically documented after arrival to the hospital along with the appropriate stroke code.
ICD-10 code Z91. 81 for History of falling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 | Cerebral infarction, unspecified (I63.
The patient's NIHSS score is calculated by adding the number for each element of the scale; 42 is the highest score possible. In the NIHSS, the higher the score, the more impaired a stroke patient is.
However, coders should not code Z91. 81 as a primary diagnosis unless there is no other alternative, as this code is from the “Factors Influencing Health Status and Contact with Health Services,” similar to the V-code section from ICD-9.
When a patient has a history of cerebrovascular disease without any sequelae or late effects, ICD-10 code Z86. 73 should be assigned.
I63. 9 - Cerebral infarction, unspecified | ICD-10-CM.
ICD-10 code: I63. 9 Cerebral infarction, unspecified.
History of Stroke (ICD-10 code Z86. 73) should be used when the patient is being seen in an out patient setting subsequent to an inpatient stay. In addition, this code should be used when the patient does not exhibit neurologic deficits due to cerebrovascular disease (i.e., no late effects due to stroke).
Unspecified sequelae of cerebral infarction The 2022 edition of ICD-10-CM I69. 30 became effective on October 1, 2021.
The NIHSS is a 15-item neurologic examination stroke scale used to evaluate the effect of acute cerebral infarction on the levels of consciousness, language, neglect, visual-field loss, extraocular movement, motor strength, ataxia, dysarthria, and sensory loss. A trained observer rates the patent’s ability to answer questions and perform activities. Ratings for each item are scored with 3 to 5 grades with 0 as normal, and there is an allowance for untestable items. The single patient assessment requires less than 10 minutes to complete.
The NIH stroke scale (NIHSS) codes (R29.7–) can be used in conjunction with acute stroke codes (I63) to identify the patient’s neurological status and severity of the stroke. The stroke scale codes should be sequenced after the acute stroke diagnosis code (s).#N#At a minimum, report the initial score documented. If desired, a facility may choose to capture multiple stroke scale scores.
National Institutes of Health Stroke Scale (NIHSS) score 1 R29.7 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM R29.7 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of R29.7 - other international versions of ICD-10 R29.7 may differ.
The 2022 edition of ICD-10-CM R29.7 became effective on October 1, 2021.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
The ICD-10-CM code book index entry is NIHSS (National Institutes of Health Stroke Scale) score R29.7- The NIHSS stroke score can be assigned based on provider or other clinicians’ documentation.
NIH Stroke Scale scores range from 0 to 42, with higher values indicating more severe strokes. The NIHSS is a 15-item neurologic examination stroke scale used to evaluate the effect of acute cerebral infarction/stroke on the levels of consciousness, language, neglect, visual-field loss, extraocular movement, motor strength, ataxia, dysarthria, and sensory loss.
Since the guideline above states can be used, many coders are not reporting the R29.7- – code.
At a minimum, report the initial score documented. If desired, a facility may choose to capture
The NIH Stroke Scale revision only applies to the Stroke MORTALITY measure.