AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES

National Institutes of Health Stroke Scale (NIHSS) Scores

A new subcategory (R29.7-) has been created to report the National Institutes of Health Stroke Scale (NIHSS) scores. The NIHSS scale is a clinical assessment tool to evaluate and document neurological status in acute stroke patients. 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. Codes from R29.7- are intended to be used as secondary codes as the acute cerebral infarction (I63-) should be coded first. The codes discretely identify...

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