R03.1

R03.1: Nonspecific low blood-pressure reading

Billable / specific codeICD-10-CM

R03.1 is a billable, specific ICD-10-CM code for nonspecific low blood-pressure reading. It is valid for submission on a claim.

Check R03.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

hypotension (I95.-)
maternal hypotension syndrome (O26.5-)
neurogenic orthostatic hypotension (G90.3)

Other codes that can never be billed with R03.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

I95Hypotension

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R03.1 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57326Billing and Coding: Electrocardiograms

Alphabetic index entries that lead here

Abnormal, abnormality, abnormalities›blood pressure›low reading(nonspecific)
Decrease›blood›pressure
Low›blood pressure›reading(incidental) (isolated) (nonspecific)
Pressure›hyposystolic›incidental reading, without diagnosis of hypotension
Blood›pressure›low›incidental reading, without diagnosis of hypotension

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R03

R03.0Elevated blood-pressure reading, without diagnosis of hypertension