ICD-10 Coding for Neurogenic Orthostatic Hypotension(G90.3, I95.1)
Complete ICD-10-CM coding and documentation guide for Neurogenic Orthostatic Hypotension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neurogenic Orthostatic 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 |
|---|---|---|---|
| G90.3 | Neurogenic orthostatic hypotension | Use when autonomic dysfunction is confirmed as the cause of orthostatic hypotension. |
|
| I95.1 | Orthostatic hypotension | Use for orthostatic hypotension without autonomic dysfunction. |
|
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 neurocardiogenic orthostatic hypotension
Essential facts and insights about Neurogenic Orthostatic Hypotension
Primary ICD-10-CM Codes for neurocardiogenic orthostatic hypotension
Decision Criteria
clinical Criteria
- BP drop ≥20/10 mmHg with ΔHR/ΔSBP <0.5
documentation Criteria
- Document autonomic dysfunction or related neurological condition
Applicable To
- Autonomic failure
- Pure autonomic failure
Excludes
- Non-neurogenic orthostatic hypotension (I95.1)
Clinical Validation Requirements
- Tilt-table test showing BP drop without HR compensation
- Autonomic testing indicating sympathetic failure
Code-Specific Risks
- Misclassification with non-neurogenic hypotension
- Omitting documentation of autonomic dysfunction
Coding Notes
- Ensure documentation includes autonomic testing results.
I95.1 - Orthostatic hypotension
Use for orthostatic hypotension without autonomic dysfunction.
Excludes
- Neurogenic orthostatic hypotension (G90.3)
Clinical Validation Requirements
- BP drop with HR increase ≥15 bpm
Coding Notes
Document BP and HR changes clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Parkinson’s disease
G20Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Neurogenic Orthostatic Hypotension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G90.3.
Impact
Clinical: Misdiagnosis of hypotension type., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure HR response is documented with BP changes, Use templates for consistent documentation
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use G90.3 when autonomic dysfunction is confirmed.
Impact
Using I95.1 instead of G90.3 for neurogenic cases.
Mitigation Strategy
Educate staff on autonomic dysfunction documentation.
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 Neurogenic Orthostatic Hypotension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neurogenic Orthostatic Hypotension
Use these documentation templates to ensure complete and accurate documentation for Neurogenic Orthostatic Hypotension. These templates include all required elements for proper coding and billing.
Neurogenic Orthostatic Hypotension in Parkinson’s Disease
Specialty: NeurologyRequired Elements
- BP measurements in different positions
- HR response documentation
- Autonomic testing results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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