Excludes1 pair

I95.1 vs I95.2

I95.1 and I95.2 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on I95.1
orthostatic hypotension due to drugs (I95.2)
I95.1

Orthostatic hypotension

Billable
Chapter 9
Diseases of the circulatory system
Section
I95-I99
Use when the record says
  • Hypotension, postural
Indexed under
  • Hypotension › orthostatic (chronic)
  • Hypotension › postural
I95.2

Hypotension due to drugs

Billable
Chapter 9
Diseases of the circulatory system
Section
I95-I99
Use when the record says
  • Orthostatic hypotension due to drugs
Indexed under
  • Crisis › nitritoid
  • Hypotension › drug-induced
  • Hypotension › orthostatic › due to drugs

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027