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I95.1
ICD-10-CM
Orthostatic Hypotension

Find information on orthostatic hypotension diagnosis, including clinical documentation tips, ICD-10 codes (I95.1), medical coding guidelines, and healthcare provider resources. Learn about symptoms, causes, and treatment of orthostatic postural hypotension for accurate medical recordkeeping and billing. This resource offers guidance for physicians, nurses, and other healthcare professionals on managing orthostatic hypotension in patients.

Also known as

Postural Hypotension

Diagnosis Snapshot

Key Facts
  • Definition : A drop in blood pressure upon standing.
  • Clinical Signs : Dizziness, lightheadedness, fainting, blurred vision upon standing.
  • Common Settings : Elderly, dehydrated individuals, those on blood pressure medications.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC I95.1 Coding
I95.1

Orthostatic hypotension

A drop in blood pressure upon standing.

I95.9

Hypotension, unspecified

Low blood pressure without further details.

R55

Syncope and collapse

Fainting or temporary loss of consciousness.

G90.3

Postural orthostatic tachycardia syndrome (POTS)

Abnormal heart rate increase upon standing, often with orthostatic intolerance.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the orthostatic hypotension iatrogenic?

  • Yes

    Due to medication?

  • No

    Is it due to volume depletion?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Orthostatic Hypotension
Syncope
Dehydration

Documentation Best Practices

Documentation Checklist
  • Document symptomatic drop in BP upon standing
  • Record time from standing to symptom onset
  • Quantify BP drop: systolic and diastolic
  • Include duration of symptoms
  • Document contributing factors, if any

Coding and Audit Risks

Common Risks
  • Unspecified Hypotension

    Coding I95.9 (Hypotension, unspecified) without documenting specific orthostatic criteria misses specific diagnosis and impacts reimbursement.

  • Lacking Supporting Documentation

    Insufficient documentation of postural blood pressure changes and symptoms can lead to coding denials and compliance issues. CDI review crucial.

  • Comorbidity Coding Errors

    Failing to accurately capture underlying causes or related conditions (e.g., dehydration, medication effects) impacts risk adjustment and quality metrics.

Mitigation Tips

Best Practices
  • Hydrate adequately, increase salt intake cautiously. ICD-10 I95.1
  • Slow positional changes, avoid prolonged standing. ICD-10 I95.1, CDI best practice
  • Consider compression stockings, abdominal binders. E06.90, E06.91
  • Review medications, adjust dosages as needed. Improve documentation for compliance
  • Exercise regularly, focus on leg strengthening. Monitor BP, document orthostatic vitals

Clinical Decision Support

Checklist
  • 1. Measure BP supine after 5 min rest (ICD-10 I95.1)
  • 2. Measure BP standing at 1 & 3 min (SNOMED CT 413932003)
  • 3. Drop >=20mmHg systolic or >=10mmHg diastolic?
  • 4. Document symptoms (e.g., dizziness, lightheadedness)
  • 5. Consider contributing medications (RxNorm)

Reimbursement and Quality Metrics

Impact Summary
  • Orthostatic Hypotension reimbursement: ICD-10 I95.1, CPT 93923/93924 impacts MS-DRG assignment.
  • Coding accuracy crucial: Differentiate OH from syncope, dehydration for correct E/M coding.
  • Hospital reporting: OH impacts quality metrics related to falls, readmissions, patient safety.
  • Low blood pressure diagnosis affects severity level, resource utilization, and hospital value-based purchasing.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code I95.1 for OH diagnosis
  • Document drop in BP upon standing
  • Specify systolic and diastolic values
  • Note symptom duration and severity
  • Query physician if documentation unclear

Documentation Templates

Patient presents with symptoms suggestive of orthostatic hypotension, including dizziness, lightheadedness, and near-syncope upon standing or with postural changes.  The patient reports experiencing these symptoms intermittently, particularly upon arising from a seated or supine position.  Onset of symptoms is described as (acute or gradual) and lasting (duration).  Review of systems reveals (positive or negative) associated symptoms such as blurred vision, weakness, fatigue, nausea, and palpitations.  Past medical history includes (relevant comorbidities such as diabetes, Parkinson's disease, dehydration, anemia, or medication use known to contribute to orthostatic hypotension).  Orthostatic blood pressure measurements were obtained revealing a drop of (systolic value) mmHg systolic and (diastolic value) mmHg diastolic within (timeframe) minutes of standing, confirming the diagnosis of orthostatic hypotension.  Assessment includes evaluation for potential underlying causes and contributing factors, such as autonomic dysfunction, medication side effects, volume depletion, and cardiovascular conditions.  The patient was educated on non-pharmacological management strategies, including increasing fluid intake, avoiding prolonged standing, slow positional changes, and compression stockings.  Treatment plan includes (mention specific interventions such as medication adjustments, if applicable, and follow-up plan).  Patient understanding of the condition and management plan was confirmed.  Follow-up appointment scheduled in (timeframe) to monitor symptom improvement and blood pressure control. Differential diagnosis includes vasovagal syncope, dehydration, and other causes of syncope and presyncope.  ICD-10 code I95.1 (Orthostatic hypotension) is assigned.