ICD-10 Coding for Hypotension Unspecified(I95.9)
Complete ICD-10-CM coding and documentation guide for Hypotension Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypotension Unspecified
I95.0-I95.9Primary Range
Hypotension
This range includes all types of hypotension, with I95.9 specifically for unspecified cases.
Key Information: ICD-10 code for hypotension unspecified
Essential facts and insights about Hypotension Unspecified
Primary ICD-10-CM Code for hypotension unspecified
Decision Criteria
clinical Criteria
- Blood pressure consistently below 90/60 mmHg with symptoms.
documentation Criteria
- No specific cause or type of hypotension documented.
Applicable To
- Hypotension during surgery
- Hypotensive episode
- Low blood pressure
Clinical Validation Requirements
- Blood pressure readings consistently below 90/60 mmHg
- Symptoms such as dizziness or fainting documented
Code-Specific Risks
- Increased audit risk due to lack of specificity
- Potential for incorrect DRG assignment
Coding Notes
- Ensure documentation supports the use of I95.9 by confirming no specific type of hypotension is identified.
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 Hypotension Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I95.9.
Impact
Clinical: Misrepresentation of patient's condition, Regulatory: Potential coding audits, Financial: Incorrect billing and reimbursement
Mitigation Strategy
Query provider for clarification, Ensure documentation supports code choice
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I95.9 unless orthostatic hypotension is explicitly documented.
Impact
Increased audit risk due to lack of specificity in coding.
Mitigation Strategy
Encourage detailed documentation and provider queries.
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 Hypotension Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypotension Unspecified
Use these documentation templates to ensure complete and accurate documentation for Hypotension Unspecified. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: Emergency MedicineRequired Elements
- Vital signs
- Symptoms
- Assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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