ICD Code I95.9

ICD code I95.9 is used to classify a diagnosis of hypotension, unspecified. This code is applied when a patient is experiencing low blood pressure, but the specific cause or type of hypotension has not been determined or documented. It is a general code that helps healthcare providers and billing professionals categorize and manage cases where the details of the hypotension are not fully specified.

When considering the use of the ICD code for hypotension, unspecified, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Blood Pressure Measurement: Documented systolic blood pressure consistently below 90 mmHg or diastolic pressure below 60 mmHg without a specific underlying cause identified.

2. Clinical Symptoms: Presence of symptoms such as dizziness, lightheadedness, fainting (syncope), blurred vision, or fatigue that are associated with low blood pressure readings.

3. Exclusion of Specific Causes: Absence of identifiable causes such as dehydration, blood loss, heart conditions, or medication side effects that could explain the hypotension.

4. Patient History: Review of patient history to rule out chronic conditions or acute events that could contribute to low blood pressure, ensuring no specific diagnosis can be made.

5. Physical Examination: Findings from a physical examination that support the presence of hypotension without a clear etiology.

6. Laboratory and Diagnostic Tests: Results from laboratory tests and diagnostic procedures that do not point to a specific cause of hypotension, confirming the unspecified nature.

7. Monitoring and Observation: Continuous monitoring and observation of blood pressure readings over time to confirm persistent hypotension without a definitive diagnosis.

By following these criteria, healthcare providers can accurately determine when to use the ICD code for hypotension, unspecified, ensuring appropriate documentation and coding for revenue cycle management purposes.

For the ICD code I95.9 (Hypotension, unspecified), the relevant CPT codes that may be applicable for treatment or management include:

1. 99201-99215 - Evaluation and Management (E/M) services for new or established patients, which may include office or other outpatient visits.

2. 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report, often used to assess cardiac function.

3. 36415 - Collection of venous blood by venipuncture, which may be necessary for laboratory tests to evaluate underlying causes.

4. 80048 - Basic metabolic panel, which includes tests that can help assess electrolyte balance and kidney function.

5. 96360 - Intravenous infusion, hydration; initial, 31 minutes to 1 hour, which may be used if intravenous fluids are administered to manage hypotension.

6. 94760 - Noninvasive ear or pulse oximetry for oxygen saturation, single determination, which can be used to monitor oxygen levels in the blood.

These CPT codes are examples of procedures and services that might be utilized in the evaluation and management of a patient with hypotension, unspecified. It's important to note that the selection of CPT codes should be based on the specific services provided and documented during the patient encounter.

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 I95.9. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.