I95.1 — Orthostatic hypotension
I95.1 is a billable, specific ICD-10-CM code for orthostatic hypotension. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hypotension, postural
Other codes that can never be billed with I95.1
These codes carry an Excludes1 note pointing at I95.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I95.1 alone.
Risk adjustment
I95.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
I95.1 is named in 15 Medicare coverage policies — 15 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54954Billing and Coding: Autonomic Function Tests
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56619Billing and Coding: Nerve Conduction Studies and Electromyography
- A56625Billing and Coding: Echocardiography
How I95.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I95.1.
- Hypotension›orthostatic(chronic)
- Hypotension›postural
Related codes at this level
Codes that share I95. If I95.1 is not quite right, the correct code is usually one of these.
Questions about I95.1
- Is I95.1 a billable ICD-10-CM code?
- Yes. I95.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I95.1 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Other and unspecified disorders of the circulatory system (I95-I99).
- What cannot be coded together with I95.1?
- I95.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.