2025 ICD-10-CM code R29.702
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified - Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29) Chapter 19: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
This code represents a NIH Stroke Scale (NIHSS) score of 2, indicating neurological deficits following a stroke.It's used for billing and tracking.
No modifiers are directly applicable to this ICD-10 code. Modifiers are usually applied to procedural codes, not diagnostic codes.
The medical necessity for coding R29.702 is established by the clinical presentation of neurological deficits consistent with a stroke and the administration of the NIHSS, a standard assessment tool for stroke severity.The NIHSS score provides information about the extent of neurological damage and guides treatment decisions, making it medically necessary for accurate documentation and billing.
Neurologists and other healthcare professionals involved in stroke care are responsible for administering the NIHSS and interpreting the results. They also manage patient care based on the assessment findings.
- Chapter 19: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- R25-R29
In simple words: This code is used to record the results of a stroke severity test (NIHSS). A score of 2 on this test means the patient has some noticeable neurological problems after their stroke.Doctors use it for medical records and billing.
R29.702 is an ICD-10-CM code signifying a National Institutes of Health Stroke Scale (NIHSS) score of 2.The NIHSS is a standardized assessment tool used to evaluate the severity of neurological impairment in patients who have experienced a stroke. A score of 2 reflects moderate neurological deficits, requiring further clinical assessment and management.This code should be used in conjunction with other relevant ICD-10-CM codes to describe the specific type and location of the stroke.
Example 1: A 65-year-old male presents to the emergency department with sudden onset right-sided weakness and slurred speech.The NIHSS is administered, yielding a score of 2.This, along with CT scan results showing an ischemic stroke in the left MCA territory, guides treatment decisions including thrombolytic therapy., An 80-year-old female with a history of atrial fibrillation is admitted with symptoms consistent with stroke.The NIHSS score is 2, showing moderate neurological impairment.Further diagnostic tests are ordered to determine the etiology and location of the stroke., A 72-year-old patient arrives at the hospital following a fall, showing signs of a stroke. The NIHSS is performed, with a score of 2 indicating some neurological deficits which is not as severe as a score of 3 or higher.Neurological assessment and treatment plans are adjusted according to this score to ensure the proper treatment is provided to the patient.
Detailed documentation should include:* Complete NIHSS assessment results with individual item scores and justification.* Clinical history including onset and progression of neurological symptoms.* Neuroimaging reports (CT scan, MRI).* Laboratory investigations (e.g., blood glucose, coagulation studies).* Treatment plan and response to interventions.* Patient's response to questions during the NIHSS assessment.
** R29.702 should only be used when the NIHSS score is 2.Ensure proper documentation of the entire NIHSS examination and all other relevant findings, including specific neurological deficits observed.Consult the official ICD-10-CM coding guidelines for the most up-to-date information and clarifications.
- Payment Status: Active
- Modifier TC rule: Not applicable; this is a diagnostic code, not a procedural code.
- Specialties:Neurology, Emergency Medicine, Stroke Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital,Ambulatory Surgical Center, Office