ICD-10 I95
Non-Billable HeaderHypotension
About ICD-10-CM I95
ICD-10-CM code I95 represents Hypotension. This is a non-billable header code in the Circulatory System chapter (block I95). The 2026 edition of ICD-10-CM I95 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with I95. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- cardiovascular collapse (R57.9)
- maternal hypotension syndrome (O26.5-)
- nonspecific low blood pressure reading NOS (R03.1)
Medicare LCD Coverage for I95
Local Coverage Determinations (LCDs) from CMS MACs that list I95 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing I95.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but I95 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with I95
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To I95
Other codes in section I95-I99 (Other and unspecified disorders of the circulatory system).
ICD-10 I95, Billing FAQ
Is ICD-10 code I95 billable? +
No, I95 is a non-billable header code. Use a more specific child code from block I95 when submitting claims.
What codes are Type 1 Excludes for I95? +
Type 1 Excludes (never code together with I95): cardiovascular collapse (R57.9); maternal hypotension syndrome (O26.5-); nonspecific low blood pressure reading NOS (R03.1)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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