2025 ICD-10-CM code I95.2

Hypotension due to drugs; low blood pressure caused by medication.

Appropriate coding requires identifying the specific medication causing the hypotension. This may require additional coding from the T36-T50 range for adverse effects due to drugs, along with additional clinical context to fully capture the complexity of the situation.

Modifiers might be necessary depending on the circumstances of service and may include modifiers for multiple procedures, different levels of service, or professional versus technical components of procedures. The context of each case determines the necessity and type of modifier.

Medical necessity is established when hypotension is clinically significant (causing symptoms or complications) and directly attributable to medication.Documentation should demonstrate the causal relationship between medication and the observed hypotension.

The clinical responsibility involves identifying and managing drug-induced hypotension.This includes obtaining a thorough medication history, assessing vital signs (especially orthostatic blood pressure), and adjusting or discontinuing the offending medication as clinically indicated.Treatment might include intravenous fluids or vasopressors in severe cases.Monitoring for complications like syncope and falls is crucial.

IMPORTANT Consider additional codes to specify the causative drug (T36-T50, with 5th or 6th character 5) and any adverse effects.Orthostatic hypotension (low blood pressure upon standing) may require further coding clarification.

In simple words: This code means your blood pressure is too low because of medicine you're taking.Blood pressure is how hard the blood pushes against the artery walls.If it's too low, your body might not get enough blood. This can cause dizziness, fainting, or falls.

I95.2, Hypotension due to drugs, refers to low blood pressure (hypotension) resulting from the administration of medications.This condition occurs when medication interferes with the body's normal blood pressure regulation, leading to insufficient blood flow to vital organs. The severity can range from mild dizziness to more serious consequences like syncope (fainting), falls, and injury.Use of additional codes is recommended to specify the causative drug (T36-T50 with 5th or 6th character 5) and any resulting adverse effects.

Example 1: A 70-year-old patient on multiple antihypertensive medications experiences dizziness and near-syncope upon standing.Orthostatic hypotension is confirmed, and one medication is adjusted to alleviate the symptoms., A 65-year-old patient newly started on a tricyclic antidepressant reports feeling lightheaded and experiencing several falls.The physician diagnoses drug-induced hypotension and switches the patient to a different antidepressant., A 55-year-old patient taking a diuretic for hypertension presents to the ER with severe hypotension, requiring IV fluids and vasopressor support to stabilize blood pressure.

Detailed medication history, including dosages and timing of administration, is essential.Documentation should include blood pressure measurements (both supine and standing, if applicable), assessment of symptoms (dizziness, lightheadedness, syncope, falls), and the physician's plan to manage the hypotension (e.g., medication adjustment, fluid therapy, vasopressors).

** Always consider the patient's overall clinical picture and the potential for multiple contributing factors to hypotension.This code should be used cautiously and in conjunction with other relevant codes to ensure complete and accurate billing and documentation.

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