P94.1
P94.1: Congenital hypertonia
Billable / specific codeICD-10-CM
P94.1 is a billable, specific ICD-10-CM code for congenital hypertonia. It is valid for submission on a claim.
Check P94.1 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
P94.1 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
Alphabetic index entries that lead here
- Hypertony, hypertonia, hypertonicity›congenital
Code history
Unchanged in every release from FY2024 to FY2027.