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2025 ICD-10-CM code R29.700

NIHSS score 0. This code signifies a National Institutes of Health Stroke Scale (NIHSS) score of 0, indicating no neurological deficits due to stroke.

Always code first the underlying condition if a definitive diagnosis is made. The code should not be used if there are any residual neurological deficits.

Medical necessity for using this code is determined by the need to document the severity of neurological deficits in a suspected stroke patient. The NIHSS score is a crucial component in stroke assessment, guiding treatment decisions and prognosis.

Clinicians use the NIHSS score to assess the severity of stroke symptoms. A score of 0 indicates the absence of neurological deficits and is typically documented by physicians, nurses, or other healthcare professionals involved in stroke care.

In simple words: This code indicates a score of zero on a stroke severity scale, meaning no signs of stroke-related problems.

National Institutes of Health Stroke Scale (NIHSS) score 0. Code first the type of cerebral infarction (I63.-) if applicable.

Example 1: A 60-year-old patient presents to the emergency department with transient symptoms concerning for stroke, such as brief unilateral weakness and slurred speech. After a thorough neurological examination and imaging studies, the physician determines the NIHSS score to be 0, indicating a transient ischemic attack (TIA) or stroke mimic. The code is useful for documentation and tracking of TIA or similar events where initial symptoms resolve completely., A patient arrives at the hospital with suspected stroke symptoms. Upon evaluation using the NIHSS, the patient scores a 0, indicating no neurological deficits. Further investigation reveals the symptoms are due to a different medical condition, such as hypoglycemia or migraine. In this case, R29.700 helps differentiate stroke mimics from actual strokes and aids in proper diagnosis., A patient with a history of stroke undergoes regular neurological assessments using the NIHSS. During one such assessment, the patient receives a score of 0. This indicates a positive outcome in stroke recovery and the absence of residual neurological deficits.

Documentation should include a detailed neurological examination record, results of imaging studies (CT, MRI), and the NIHSS assessment form completed by a qualified healthcare professional. Any other relevant clinical findings and differential diagnoses considered should also be documented.

** The NIHSS is a standardized tool used to evaluate the severity of stroke symptoms.A score of 0 indicates the absence of neurological deficits. If any neurological deficit is present, a different NIHSS code reflecting the appropriate score should be used.

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