Vestibular neuronitis, bilateral
ICD-10 H81.23 is a billable code used to indicate a diagnosis of vestibular neuronitis, bilateral.
Vestibular neuronitis is an inflammatory condition affecting the vestibular nerve, which is responsible for balance and spatial orientation. Bilateral vestibular neuronitis indicates that both sides of the vestibular system are involved. Patients typically present with sudden onset of vertigo, imbalance, and nausea, often without accompanying auditory symptoms such as hearing loss or tinnitus. The condition is usually viral in origin, often following a respiratory infection. Diagnosis is primarily clinical, supported by vestibular function tests and exclusion of other causes of vertigo. Management focuses on symptomatic relief, including vestibular suppressants and rehabilitation exercises. Most patients recover fully, but the condition can significantly impact quality of life during acute episodes. Understanding the nuances of this diagnosis is crucial for accurate coding and appropriate management.
Detailed history of symptoms, results of vestibular testing, and treatment plans.
Patients presenting with acute vertigo, especially following viral infections.
Ensure clear documentation of the absence of hearing loss to support the diagnosis.
Neurological examination findings, imaging results if applicable, and differential diagnoses considered.
Patients with vertigo and neurological symptoms requiring differentiation from central causes.
Document any neurological deficits to rule out other conditions.
Used to assess vestibular function in patients with suspected vestibular disorders.
Document the specific tests performed and the results.
Otolaryngologists and neurologists should ensure comprehensive reporting of test outcomes.
Common symptoms include sudden onset of severe vertigo, imbalance, nausea, and vomiting, typically without hearing loss.
Diagnosis is primarily clinical, supported by vestibular function tests and exclusion of other causes of vertigo.
Management focuses on symptomatic relief with vestibular suppressants and rehabilitation exercises, with most patients recovering fully.
