I95.0
BillableIdiopathic hypotension
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is I95.0 an HCC code?
No. I95.0 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
I95.0 is the ICD-10-CM diagnosis code for idiopathic hypotension. Abnormally low blood pressure that occurs without a known underlying cause. I95.0 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering other and unspecified disorders of the circulatory system (i95-i99).
I95.0 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Verify that secondary causes have been ruled out before assigning this code.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I95.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify that secondary causes have been ruled out before assigning this code
- •Document any symptoms such as dizziness, fatigue, or syncope in the medical record