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G90.3 vs R03.1

G90.3 (Multi-system degeneration of the autonomic nervous system) compared with R03.1 (Nonspecific low blood-pressure reading), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. R03.1 carries an Excludes1 note covering G90.3: “neurogenic orthostatic hypotension (G90.3)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

G90.3Multi-system degeneration of the autonomic nervous systemR03.1Nonspecific low blood-pressure reading
Billing statusBillableBillable
ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionMulti-system degeneration of the autonomic nervous system is a billable ICD-10-CM diagnosis code (G90.3).Nonspecific low blood-pressure reading is a billable ICD-10-CM diagnosis code (R03.1).
Includes
Neurogenic orthostatic hypotension [Shy-Drager]

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources