ICD-10 Coding for Orthostatic Hypotension(I95.1, I95.2)
Complete ICD-10-CM coding and documentation guide for Orthostatic Hypotension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Orthostatic Hypotension
I95.0-I95.9Primary Range
Hypotension
This range includes codes for various types of hypotension, including 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 |
|---|---|---|---|
| I95.1 | Orthostatic hypotension | Use when orthostatic hypotension is the primary diagnosis or focus of treatment. |
|
| I95.2 | Hypotension due to drugs | Use when hypotension is a result of medication use. |
|
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 Orthostatic Hypotension
Primary ICD-10-CM Codes for orthostatic hypotension
Decision Criteria
clinical Criteria
- Documented BP drop and symptoms upon standing
Applicable To
- Postural hypotension
Excludes
- Drug-induced hypotension (I95.2)
Clinical Validation Requirements
- Drop in systolic BP ≥20 mmHg or diastolic BP ≥10 mmHg within 3 minutes of standing
- Symptoms such as dizziness or lightheadedness upon standing
Code-Specific Risks
- Misdocumentation as general hypotension
- Lack of positional BP measurements
Coding Notes
- Ensure documentation includes specific BP changes and symptoms.
I95.2 - Hypotension due to drugs
Use when hypotension is a result of medication use.
Applicable To
- Drug-induced orthostatic hypotension
Clinical Validation Requirements
- Temporal relationship between drug use and hypotension
- Documented adverse effect of medication
Coding Notes
Ensure drug-related documentation is clear.
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 Orthostatic 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: Misdiagnosis of hypotension type., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Train staff on proper BP measurement techniques, Use templates for consistent documentation
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation includes positional BP changes and symptoms.
Impact
Lack of detailed BP documentation can lead to audit issues.
Mitigation Strategy
Implement standardized documentation protocols.
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 Orthostatic Hypotension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Orthostatic Hypotension
Use these documentation templates to ensure complete and accurate documentation for Orthostatic Hypotension. These templates include all required elements for proper coding and billing.
Orthostatic Hypotension in Elderly Patient
Specialty: GeriatricsRequired Elements
- Patient history of dizziness upon standing
- BP measurements in different positions
- Medication review
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Orthostatic Hypotension? Ask your questions below.