ICD-10 Coding for Low Blood Pressure(I95.1, I95.2, I95.9)
Complete ICD-10-CM coding and documentation guide for Low Blood Pressure. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Low Blood Pressure
I95.0-I95.9Primary Range
Hypotension
This range covers all forms of hypotension, including orthostatic, drug-induced, and unspecified types.
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 there is documented evidence of BP changes with postural adjustments. |
|
| I95.2 | Hypotension due to drugs | Use when hypotension is directly caused by medication. |
|
| I95.9 | Hypotension, unspecified | Use only when no specific type 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 low blood pressure
Essential facts and insights about Low Blood Pressure
Primary ICD-10-CM Codes for low blood pressure
Decision Criteria
clinical Criteria
- Documented positional BP changes
Applicable To
- Postural hypotension
Excludes
- Hypotension due to drugs (I95.2)
Clinical Validation Requirements
- Drop in systolic BP by ≥20 mmHg or diastolic by ≥10 mmHg within 3 minutes of standing
Code-Specific Risks
- Incorrectly coding as unspecified hypotension without positional BP documentation.
Coding Notes
- Ensure BP readings in different positions are documented.
I95.2 - Hypotension due to drugs
Use when hypotension is directly caused by medication.
Applicable To
- Drug-induced hypotension
Excludes
- Orthostatic hypotension (I95.1)
Clinical Validation Requirements
- Temporal relationship between drug administration and hypotension
Coding Notes
Ensure the drug causing hypotension is clearly documented.
I95.9 - Hypotension, unspecified
Use only when no specific type of hypotension is documented.
Excludes
- Orthostatic hypotension (I95.1)
- Drug-induced hypotension (I95.2)
Clinical Validation Requirements
- General documentation of low blood pressure without specific cause
Coding Notes
Avoid using unless absolutely necessary due to vague documentation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Syncope and collapse
R55Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Low Blood Pressure to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I95.1.
Impact
Clinical: Inaccurate treatment adjustments., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always link hypotension to specific drugs in documentation.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the type of hypotension.
Impact
High audit risk when using I95.9 without specific documentation.
Mitigation Strategy
Encourage detailed documentation of hypotension type.
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 Low Blood Pressure, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Low Blood Pressure
Use these documentation templates to ensure complete and accurate documentation for Low Blood Pressure. These templates include all required elements for proper coding and billing.
Orthostatic Hypotension
Specialty: Internal MedicineRequired Elements
- Patient symptoms
- BP readings in different positions
- Exclusion of secondary causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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