ICD CODES

ICD Code I95.1

ICD code I95.1 is used to classify orthostatic hypotension, a condition where blood pressure drops significantly when standing up.

Accelerate your revenue cycle

Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.

Get a Demo

What is ICD diagnosis code I95.1

ICD code I95.1 is a medical classification used to denote orthostatic hypotension, a condition characterized by a significant drop in blood pressure when a person stands up from a sitting or lying position. This can lead to dizziness, lightheadedness, or even fainting, and is often a concern in clinical settings as it can affect patient safety and quality of life.

When to use ICD code I95.1

1. Drop in Blood Pressure Upon Standing: A significant decrease in systolic blood pressure (typically by at least 20 mmHg) or diastolic blood pressure (by at least 10 mmHg) within three minutes of standing.

2. Dizziness or Lightheadedness: The patient experiences dizziness or a sensation of lightheadedness when moving from a sitting or lying position to standing.

3. Fainting or Syncope: Episodes of fainting or near-fainting spells that occur upon standing.

4. Blurred Vision: Temporary blurring of vision when the patient stands up.

5. Weakness or Fatigue: Generalized weakness or fatigue that is exacerbated by standing.

6. Nausea: The patient may report feelings of nausea when transitioning to an upright position.

7. Palpitations: Awareness of an irregular or rapid heartbeat upon standing.

8. Cold, Clammy Skin: The patient may exhibit cold, clammy skin as a response to the drop in blood pressure.

9. Cognitive Impairment: Difficulty concentrating or confusion that occurs when standing.

10. History of Conditions or Medications: Consideration of underlying conditions such as diabetes, Parkinson's disease, or the use of medications that may contribute to orthostatic hypotension.

Billable CPT codes for ICD code I95.1

For the ICD code I95.1 (Orthostatic hypotension), the relevant CPT codes that may be applicable for treatment or management include:

1. 99201-99215: Evaluation and Management (E/M) codes for office or other outpatient visits, depending on the complexity and time spent with the patient.

2. 93000-93010: Electrocardiogram (ECG or EKG) services, which may be used to assess heart function and rule out cardiac causes of symptoms.

3. 93784: Ambulatory blood pressure monitoring, which can be used to evaluate blood pressure changes over time, particularly in response to postural changes.

4. 96360-96361: Intravenous infusion codes, which may be used if fluid therapy is required to manage symptoms.

5. 94760-94762: Non-invasive ear or pulse oximetry for oxygen saturation monitoring, which can be relevant if symptoms suggest hypoxia.

6. G0444: Annual depression screening, as orthostatic hypotension can sometimes be associated with or exacerbated by mental health conditions.

These CPT codes are examples of procedures and services that may be relevant in the context of managing or evaluating orthostatic hypotension, but the exact codes used will depend on the specific clinical scenario and treatment plan. Always ensure coding is compliant with the latest guidelines and payer-specific requirements.

Are you being underpaid for encounters with I95.1

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code I95.1. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.

Get paid in full by bringing clarity to your revenue cycle

Full Page Background