ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I95.1

Billable / Specific

Orthostatic hypotension

I95
Block
1
Synonyms
263
LCDs
17
Payer Policies
0
Linked CPTs

About ICD-10-CM I95.1

ICD-10-CM code I95.1 represents Orthostatic hypotension. This is a billable/specific code in the Circulatory System chapter (block I95). The 2026 edition of ICD-10-CM I95.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I95.1. Per CMS ICD-10-CM Tabular 2026.

  • Hypotension, postural

Type 1 Excludes

Pure excludes, these codes can never be coded together with I95.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • neurogenic orthostatic hypotension [Shy-Drager] (G90.3)
  • orthostatic hypotension due to drugs (I95.2)

Medicare LCD Coverage for I95.1

Local Coverage Determinations (LCDs) from CMS MACs that list I95.1 as a covered diagnosis.

263 LCDs

Showing top 10 of 263 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I95.1.

17 policies

1 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Autonomic Function Tests
Policy ID: ART-54954
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Echocardiography
Policy ID: ART-56625
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781

2 Aetna

Standing Frames, Tables, and Transfer Boards
Policy ID: CPB-0481
Compression Garments for the Legs
Policy ID: CPB-0482

CPT Codes Commonly Billed with I95.1

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for I95.1

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.

Convert I95.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I95.1 4580 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 I95.1, Billing FAQ

Is ICD-10 code I95.1 billable? +

Yes, I95.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I95.1? +

ICD-10 I95.1 includes: Hypotension, postural.

What codes are Type 1 Excludes for I95.1? +

Type 1 Excludes (never code together with I95.1): neurogenic orthostatic hypotension [Shy-Drager] (G90.3); orthostatic hypotension due to drugs (I95.2)

What ICD-9 codes does I95.1 map to? +

Per CMS GEMs, I95.1 maps to ICD-9 codes: 4580. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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