Hypotension of hemodialysis

This code signifies a significant drop in blood pressure occurring during or immediately after a hemodialysis session. It represents a common complication of hemodialysis, often leading to symptoms like dizziness, nausea, and even syncope. This condition is distinct from chronic or essential hypotension.

Assign this code when documentation explicitly states "hypotension during hemodialysis," "intradialytic hypotension," or "post-dialysis hypotension." It is used when the hypotension is directly attributable to the hemodialysis procedure itself, rather than an underlying chronic hypotensive state. Supporting documentation should include physician notes detailing the event's occurrence in relation to dialysis.

• Do not use this code for general or chronic hypotension not directly linked to a dialysis session.
• Consider sequencing this code after the primary diagnosis necessitating hemodialysis (e.g., ESRD).
• Ensure the medical record clearly distinguishes this acute event from a patient's baseline blood pressure.