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
Orthostatic hypotension
A drop in blood pressure upon standing.
Hypotension, unspecified
Low blood pressure without further details.
Syncope and collapse
Fainting or temporary loss of consciousness.
Postural orthostatic tachycardia syndrome (POTS)
Abnormal heart rate increase upon standing, often with orthostatic intolerance.
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?
When to use each related code
Description |
---|
Orthostatic Hypotension |
Syncope |
Dehydration |
Coding I95.9 (Hypotension, unspecified) without documenting specific orthostatic criteria misses specific diagnosis and impacts reimbursement.
Insufficient documentation of postural blood pressure changes and symptoms can lead to coding denials and compliance issues. CDI review crucial.
Failing to accurately capture underlying causes or related conditions (e.g., dehydration, medication effects) impacts risk adjustment and quality metrics.
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.