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v1.0.0
ICD-10 Guide
DiagnosesVasovagal Syncope

Vasovagal Syncope

ICD-10 Coding for Vasovagal Syncope(R55)

PRIMARY SPECIALTYEmergency Medicine
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Vasovagal Syncope?
Essential facts and insights about Vasovagal Syncope

Key Clinical Considerations:

  • Transient loss of consciousness
  • Bradycardia and/or hypotension during episodes
  • Symptoms may include nausea, sweating, and pallor

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of syncope episodes
  • Description of triggers (e.g., standing, stress)
  • Neurological examination results

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for differentiating between syncope types.
  • Common errors include misclassifying syncope as seizures.

Code Exclusions

Important Exclusions

  • Cardiac arrhythmias
  • Neurological disorders causing syncope

Related ICD-10 Codes

Primary Codes
R55
Vasovagal syncope
Ancillary Codes
I95.1
Differential Codes
G90.01
I95.1

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Emergency Medicine

Specialty Applications

  • Adults and adolescents experiencing syncope
  • Emergency department settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document the patient's history, triggers, and physical exam findings.

What are the billing considerations?

Ensure accurate coding to reflect the diagnosis and any associated procedures.