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Home/Diagnosis/ICD-10 Coding for Syncope Episode

ICD-10 Coding for Syncope Episode

R55
I95.1

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

Also Known as:
Fainting
Temporary Loss of Consciousness
Vasovagal Syncope
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Key Information: ICD-10 Coding for Syncope Episode

Essential facts and insights about ICD-10 Coding for Syncope Episode

Use ICD-10 code R55 for syncope and collapse, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Syncope and collapse

Billable Code
R55
Billable

Diagnostic Criteria

clinical:
  • • No underlying cause found after comprehensive evaluation.
coding:
  • • Do not use with Excludes1 conditions unless unrelated.

Applicable To

  • • Fainting
  • • Temporary loss of consciousness

Important Notes

  • • Ensure no Excludes1 conditions are coded with R55.

Orthostatic hypotension

Billable Code
I95.1
Billable

Applicable To

  • • Postural hypotension

Important Notes

  • • Ensure orthostatic vitals are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

I95.1

Orthostatic hypotension

Use when syncope is due to orthostatic hypotension, not with R55 unless unrelated.

Frequently Asked Questions

When can R55 be used as a principal diagnosis?

R55 can be used as a principal diagnosis when no underlying cause is found after comprehensive evaluation, including ECG and orthostatic vitals.

How to code syncope with orthostatic hypotension?

Use I95.1 for orthostatic hypotension if it is the confirmed cause of syncope. Do not use R55 unless unrelated.

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