Ménière's disease
ICD-10 H81.0 is a billable code used to indicate a diagnosis of ménière's disease.
Ménière's disease is a chronic inner ear disorder characterized by episodes of vertigo, tinnitus, hearing loss, and a sensation of fullness in the ear. The condition is believed to result from abnormal fluid accumulation in the inner ear, which affects the balance and hearing functions. Patients typically experience recurrent episodes of vertigo that can last from 20 minutes to several hours, often accompanied by fluctuating hearing loss that may become permanent over time. Tinnitus, or ringing in the ears, is also a common symptom. The exact cause of Ménière's disease remains unclear, but it may be linked to genetic factors, autoimmune responses, or viral infections. Diagnosis is primarily clinical, based on patient history and symptomatology, often supplemented by audiometric testing and vestibular assessments. Management strategies include dietary modifications, medications for symptom relief, and in some cases, surgical interventions such as endolymphatic sac decompression or vestibular nerve section. The chronic nature of the disease and its impact on quality of life necessitate a comprehensive approach to treatment and ongoing monitoring.
Detailed patient history, audiometric test results, and treatment plans must be documented.
Patients presenting with vertigo, tinnitus, and fluctuating hearing loss.
Ensure clear documentation of the duration and frequency of episodes for accurate coding.
Neurological assessments and differential diagnoses must be documented.
Patients with vestibular symptoms requiring neurological evaluation.
Document any neurological findings that may differentiate Ménière's disease from other vestibular disorders.
Used for patients with refractory Ménière's disease.
Surgical notes and post-operative follow-up must be documented.
Otolaryngology specialists should ensure detailed surgical documentation.
The primary symptoms include recurrent episodes of vertigo, tinnitus, fluctuating hearing loss, and a sensation of fullness in the ear.
Diagnosis is based on clinical history, symptomatology, and audiometric testing to confirm hearing loss.
Common treatments include dietary changes, medications for symptom relief, and surgical options for refractory cases.
