Benign paroxysmal vertigo, unspecified ear
ICD-10 H81.10 is a billable code used to indicate a diagnosis of benign paroxysmal vertigo, unspecified ear.
Benign paroxysmal vertigo (BPV) is a common vestibular disorder characterized by brief episodes of vertigo triggered by specific changes in head position. It is caused by dislodged otoliths (calcium carbonate crystals) that migrate into the semicircular canals of the inner ear, leading to abnormal signals sent to the brain regarding head movement. Patients typically experience sudden, intense spinning sensations that can last from a few seconds to a minute. The condition is often self-limiting, but it can significantly impact a patient's quality of life. Diagnosis is primarily clinical, based on the patient's history and physical examination, particularly the Dix-Hallpike maneuver, which can reproduce the vertigo. Management may include vestibular rehabilitation therapy and repositioning maneuvers such as the Epley maneuver. While BPV is benign, it is essential to rule out other causes of vertigo, such as vestibular neuritis or Meniere's disease, which may require different treatment approaches.
Detailed history of vertigo episodes, physical examination findings, and results of diagnostic tests.
Patients presenting with recurrent vertigo episodes, particularly after head movements.
Ensure documentation reflects the benign nature of the condition and any interventions performed.
Comprehensive neurological examination and assessment of vestibular function.
Patients with vertigo and associated neurological symptoms needing differential diagnosis.
Document any neurological assessments to rule out central causes of vertigo.
Used when evaluating a patient with vertigo to assess vestibular function.
Document the specific tests performed and the rationale for their use.
Otolaryngologists may perform these tests as part of a comprehensive evaluation.
The primary cause of benign paroxysmal vertigo is the displacement of otoliths into the semicircular canals of the inner ear, leading to abnormal vestibular signals.
