ICD-10 Coding for Chronic Hypotension(I95.89, I95.1)
Complete ICD-10-CM coding and documentation guide for Chronic Hypotension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Hypotension
I95.0-I95.9Primary Range
Hypotension
This range includes all types of hypotension, with specific codes for chronic and idiopathic forms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I95.89 | Other hypotension | Use when chronic hypotension is documented without an identifiable cause. |
|
| I95.1 | Orthostatic hypotension | Use when hypotension is related to positional changes. |
|
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 chronic hypotension
Essential facts and insights about Chronic Hypotension
Primary ICD-10-CM Codes for chronic hypotension
Decision Criteria
clinical Criteria
- Documented chronic low BP without identifiable cause
documentation Criteria
- Exclusion of secondary causes through testing
Applicable To
- Chronic hypotension without specific etiology
Clinical Validation Requirements
- ≥3 BP readings <90/60 mmHg over 6+ months
- Exclusion of secondary causes (TSH, cortisol, eGFR)
Code-Specific Risks
- Misclassification if underlying cause is not excluded
- Incorrect use if hypotension is transient
Coding Notes
- Ensure chronicity and lack of identifiable cause are documented.
I95.1 - Orthostatic hypotension
Use when hypotension is related to positional changes.
Applicable To
- Postural hypotension
Excludes
- Chronic hypotension (I95.89)
Clinical Validation Requirements
- Orthostatic vital signs showing ≥20 mmHg systolic drop
Coding Notes
Ensure orthostatic changes are documented.
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 Chronic Hypotension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I95.89.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Ensure documentation includes duration of hypotension, Regularly update problem list with chronic conditions
Impact
Reimbursement: May result in denied claims due to lack of specificity., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use I95.89 for chronic hypotension without specific etiology.
Impact
Risk of using unspecified codes for chronic conditions.
Mitigation Strategy
Ensure detailed documentation of chronicity and exclusion of secondary causes.
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 Chronic Hypotension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Hypotension
Use these documentation templates to ensure complete and accurate documentation for Chronic Hypotension. These templates include all required elements for proper coding and billing.
Chronic Hypotension Evaluation
Specialty: CardiologyRequired Elements
- BP trend documentation
- Symptom assessment
- Exclusion of secondary causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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