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Home/Diagnosis/ICD-10 Coding for Orthostatic Conditions

ICD-10 Coding for Orthostatic Conditions

G90.A
I95.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for orthostatic conditions includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Postural Orthostatic Tachycardia Syndrome
Orthostatic Hypotension
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Key Information: ICD-10 Coding for Orthostatic Conditions

Essential facts and insights about ICD-10 Coding for Orthostatic Conditions

Use ICD-10 code G90.A for postural orthostatic tachycardia syndrome (pots), ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Postural orthostatic tachycardia syndrome (POTS)

Billable Code
G90.A
Billable

Diagnostic Criteria

clinical:
  • • HR increase ≥30 bpm on standing
documentation:
  • • Absence of orthostatic hypotension

Applicable To

  • • Sustained heart rate increase upon standing

Important Notes

  • • Ensure HR increase is documented without significant BP drop

Orthostatic hypotension

Billable Code
I95.1
Billable

Diagnostic Criteria

clinical:
  • • BP drop ≥20 mmHg systolic or ≥10 mmHg diastolic

Applicable To

  • • BP drop ≥20 mmHg systolic or ≥10 mmHg diastolic

Important Notes

  • • Ensure BP drop is documented with symptoms
Ancillary Codes

Additional codes that may be used with this diagnosis

R55

Syncope

Use if syncope occurs with POTS

E86.0

Dehydration

Use if dehydration contributes to orthostatic hypotension

Frequently Asked Questions

What is the ICD-10 code for orthostatic hypotension?

The ICD-10 code for orthostatic hypotension is I95.1, used when there is a documented BP drop of ≥20 mmHg systolic or ≥10 mmHg diastolic within 3 minutes of standing.

How is POTS coded in ICD-10?

POTS is coded as G90.A in ICD-10, applicable when there is a sustained heart rate increase of ≥30 bpm upon standing without significant BP drop.

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