ICD-10 R03.1
Billable / SpecificNonspecific low blood-pressure reading
About ICD-10-CM R03.1
ICD-10-CM code R03.1 represents Nonspecific low blood-pressure reading. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R03). The 2026 edition of ICD-10-CM R03.1 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R03.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- hypotension (I95.-)
- maternal hypotension syndrome (O26.5-)
- neurogenic orthostatic hypotension (G90.3)
Medicare LCD Coverage for R03.1
Local Coverage Determinations (LCDs) from CMS MACs that list R03.1 as a covered diagnosis.
Showing top 6. Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R03.1.
1 Medicare
CPT Codes Commonly Billed with R03.1
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.
Convert R03.1 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R03.1 | 7963 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R03.1
Other codes in section R00-R09 (Symptoms and signs involving the circulatory and respiratory systems).
ICD-10 R03.1, Billing FAQ
Is ICD-10 code R03.1 billable? +
Yes, R03.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for R03.1? +
Type 1 Excludes (never code together with R03.1): hypotension (I95.-); maternal hypotension syndrome (O26.5-); neurogenic orthostatic hypotension (G90.3)
What ICD-9 codes does R03.1 map to? +
Per CMS GEMs, R03.1 maps to ICD-9 codes: 7963. 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 June 1, 2026.
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