ICD-10 Coding for Postural Hypotension(I95.1)
Complete ICD-10-CM coding and documentation guide for Postural Hypotension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Postural Hypotension
I95-I99Primary Range
Other and unspecified disorders of the circulatory system
This range includes codes for various types of hypotension, including orthostatic hypotension.
Key Information: ICD-10 code for postural hypotension
Essential facts and insights about Postural Hypotension
Primary ICD-10-CM Code for postural hypotension
Decision Criteria
clinical Criteria
- Documented drop in blood pressure upon standing with symptoms.
coding Criteria
- Sequence I95.1 first if it is the primary reason for the encounter.
documentation Criteria
- Include specific blood pressure measurements and symptom onset timing.
Clinical Validation Requirements
- ≥20 mmHg systolic or ≥10 mmHg diastolic drop within 3 minutes of standing
- Symptoms such as dizziness, blurred vision, syncope documented in relation to postural changes
Code-Specific Risks
- Confusion with POTS if tachycardia is present without hypotension
- Incorrect sequencing if secondary to another condition like Parkinson's
Coding Notes
- Ensure documentation includes positional blood pressure measurements and symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Postural 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 incorrect diagnosis., Regulatory: Non-compliance with ICD-10 specificity., Financial: Potential claim denials.
Mitigation Strategy
Ensure specific documentation of orthostatic hypotension., Use templates to guide documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use G90.A for POTS if tachycardia is present without hypotension.
Impact
Failure to sequence underlying conditions first.
Mitigation Strategy
Review coding guidelines for sequencing rules.
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 Postural Hypotension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Postural Hypotension
Use these documentation templates to ensure complete and accurate documentation for Postural Hypotension. These templates include all required elements for proper coding and billing.
Orthostatic Hypotension Diagnosis
Specialty: CardiologyRequired Elements
- Positional blood pressure measurements
- Symptom description and timing
- Exclusion of dehydration or medication changes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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