ICD-10 Coding for Hypotension(I95.1, I95.2, I95.81, I95.89, I95.9)
Complete ICD-10-CM coding and documentation guide for Hypotension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypotension
I95.0-I95.9Primary Range
Hypotension
This range includes all types of hypotension, such as orthostatic, drug-induced, and unspecified hypotension.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I95.1 | Orthostatic hypotension | Use when hypotension is confirmed by positional BP measurements and symptoms are present. |
|
| I95.2 | Hypotension due to drugs | Use when hypotension is caused by a drug, with a clear temporal relationship. |
|
| I95.81 | Hypotension of hemodialysis | Use when hypotension occurs during or shortly after dialysis. |
|
| I95.89 | Other specified hypotension | Use when hypotension is specified but does not fit other categories. |
|
| I95.9 | Hypotension, unspecified | Use only when no specific cause of hypotension is documented. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for orthostatic hypotension
Essential facts and insights about Hypotension
Primary ICD-10-CM Codes for hypotension
Decision Criteria
clinical Criteria
- Documented orthostatic BP drop and symptoms
Applicable To
- Postural hypotension
Excludes
- Hypotension due to drugs (I95.2)
Clinical Validation Requirements
- Orthostatic BP measurements showing ≥20 mmHg SBP or ≥10 mmHg DBP drop within 3 minutes of standing
- Symptoms such as dizziness or syncope
Code-Specific Risks
- Incorrectly coding without documented BP measurements
Coding Notes
- Ensure BP measurements are documented.
I95.2 - Hypotension due to drugs
Use when hypotension is caused by a drug, with a clear temporal relationship.
Applicable To
- Drug-induced hypotension
Excludes
- Orthostatic hypotension (I95.1)
Clinical Validation Requirements
- Temporal relationship between drug initiation and BP drop
Coding Notes
Document the specific drug causing hypotension.
I95.81 - Hypotension of hemodialysis
Use when hypotension occurs during or shortly after dialysis.
Applicable To
- Intradialytic hypotension
Excludes
- Hypotension due to other causes
Clinical Validation Requirements
- BP drop during or after dialysis session
Coding Notes
Ensure documentation includes dialysis session details.
I95.89 - Other specified hypotension
Use when hypotension is specified but does not fit other categories.
Applicable To
- Idiopathic hypotension
- Neurogenic hypotension
Excludes
- Unspecified hypotension (I95.9)
Clinical Validation Requirements
- Exclusion of secondary causes
Coding Notes
Document exclusion of other causes.
I95.9 - Hypotension, unspecified
Use only when no specific cause of hypotension is documented.
Excludes
- Specific types of hypotension
Clinical Validation Requirements
- BP <90/60 without documented cause
Coding Notes
Avoid using when specific information is available.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypotension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I95.1.
Impact
Clinical: May lead to misdiagnosis, Regulatory: Non-compliance with documentation standards, Financial: Potential for denied claims
Mitigation Strategy
Educate clinicians on documentation requirements, Use templates for consistent documentation
Impact
Reimbursement: May affect DRG assignments and risk adjustment scores, Compliance: Non-compliance with coding guidelines, Data Quality: Decreases accuracy of health data
Mitigation Strategy
Query provider for clarification if the cause isn't documented
Impact
Frequent use of I95.9 can trigger audits
Mitigation Strategy
Ensure specific causes are documented and coded
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hypotension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypotension
Use these documentation templates to ensure complete and accurate documentation for Hypotension. These templates include all required elements for proper coding and billing.
Orthostatic Hypotension in Emergency Department
Specialty: Emergency MedicineRequired Elements
- BP measurements
- Symptoms
- Positional changes
- Medication review
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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