Orthostatic Hypotension ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Orthostatic Hypotension?

Orthostatic hypotension, or postural hypotension, is a physical condition characterized by a sudden decrease in blood pressure when a person stands up. The ICD-10-CM provides specific codes to document this condition, which is crucial for accurate medical billing and patient care. Below are the codes and their clinical descriptions:

• I95.1 - Orthostatic Hypotension: This code is assigned to cases where a patient experiences a significant and symptomatic drop in blood pressure due to a change in body position, typically from sitting or lying to standing.
• R03.1 - Nonspecific Low Blood-Pressure Reading: Utilized for instances where a patient has a low blood pressure reading that does not meet the criteria for orthostatic hypotension, and the cause is not specified.
• I95.89 - Other Specified Forms of Hypotension: This code encompasses various forms of hypotension, including those with orthostatic elements, that do not fit into more specific categories.
• I95.9 - Hypotension, Unspecified: Used when a patient presents with hypotension without further details, which may include orthostatic hypotension not fully investigated.
• I95.0 - Idiopathic Hypotension: For cases where the patient has chronic low blood pressure without an identifiable cause, which may sometimes present with orthostatic symptoms.
• I95.2 - Hypotension due to Drugs: When a patient's hypotension is directly linked to the effects of medication, this code is appropriate, especially if orthostatic symptoms are observed.
• I95.81 - Orthostatic Hypotension due to Drugs: This code is more specific and is used when orthostatic hypotension is a known adverse effect of medicinal drugs.
• I95.83 - Orthostatic Hypotension due to Hemodialysis: Assigned to patients who experience a drop in blood pressure due to fluid shifts during hemodialysis, which can mimic or cause orthostatic hypotension.

For a comprehensive understanding of these codes, including when and how to apply them, please refer to our explainer video on Orthostatic Hypotension ICD Codes.

Which Orthostatic Hypotension ICD codes are Billable?

• I95.1 - Yes
• R03.1 - Yes
• I95.89 - Yes
• I95.9 - Yes
• I95.0 - Yes
• I95.2 - Yes
• I95.81 - Yes
• I95.83 - Yes

Clinical Information

Orthostatic hypotension (OH) is a condition marked by a sudden decrease in systolic and diastolic blood pressure upon standing. This condition can lead to various symptoms and is influenced by multiple factors. Here are the key clinical points about this condition:

• OH is typically diagnosed when there's a drop of at least 20 mmHg in systolic blood pressure or at least 10 mmHg in diastolic blood pressure within three minutes of standing.

• Patients often report dizziness or lightheadedness upon standing. Fainting (syncope) or near-fainting spells may also occur.
• Some individuals experience blurred vision or "seeing stars." Nausea and weakness are also associated symptoms.

• Prevalence increases with age, particularly in individuals over 65.
• Certain medications, such as diuretics, alpha-blockers, and antidepressants, can predispose individuals to OH.
• Conditions like dehydration, prolonged bed rest, or large varicose veins can contribute to its development.

• Non-pharmacological approaches include adequate hydration, slow positional changes, and physical counter-maneuvers.
• Adjusting or discontinuing medications that may contribute to OH.
• Compression stockings and abdominal binders may be recommended to improve venous return.

• OH can be a feature of various underlying conditions, including Parkinson's disease, diabetes mellitus, and certain neuropathies.
• It may also indicate cardiovascular disorders or be a consequence of recent hospitalization.

Understanding these clinical aspects is essential for properly diagnosing, coding, and managing orthostatic hypotension. For more detailed clinical information, refer to the latest medical guidelines and research.

Synonyms Include:

• Postural hypotension
• Orthostatic intolerance
• Postural orthostatic tachycardia syndrome (when associated with a rapid increase in heartbeat)
• Neurally mediated hypotension
• Postural blood pressure drop