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G90.4

Billable

Autonomic dysreflexia

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A sudden, dangerous spike in blood pressure and other symptoms triggered by stimuli below the level of spinal cord injury, commonly occurring in patients with high spinal cord injuries.

Coding Tips

  • Always code the associated spinal cord injury when present
  • This is a medical emergency; document triggering factors and treatment response

Use Additional Code

  • code to identify the cause, such as:
  • fecal impaction (K56.41)
  • pressure ulcer (pressure area) (L89.-)
  • urinary tract infection (N39.0)

Code Hierarchy

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