Vestibular neuronitis, left ear
ICD-10 H81.22 is a billable code used to indicate a diagnosis of vestibular neuronitis, left ear.
Vestibular neuronitis is an inflammatory condition affecting the vestibular nerve, which is responsible for balance. This condition typically presents with sudden onset vertigo, often accompanied by nausea, vomiting, and imbalance. Patients may experience a sensation of spinning (vertigo) that can last for days, with symptoms exacerbated by head movements. The left ear is specifically affected in this code, indicating unilateral involvement. Diagnosis is primarily clinical, supported by a thorough history and physical examination, often ruling out other causes of vertigo such as benign paroxysmal positional vertigo (BPPV) or labyrinthitis. Diagnostic tests may include audiometry and vestibular function tests. Management focuses on symptomatic relief, often utilizing vestibular suppressants and antiemetics. In some cases, vestibular rehabilitation therapy may be recommended to aid recovery. The prognosis is generally favorable, with most patients experiencing significant improvement within weeks.
Detailed history of symptoms, physical examination findings, and results of vestibular testing.
Patients presenting with acute vertigo, nausea, and imbalance.
Ensure clear documentation of unilateral symptoms and any differential diagnoses considered.
Neurological examination findings, imaging results if applicable, and differential diagnosis documentation.
Patients with vertigo and neurological symptoms requiring differentiation from central causes.
Document any neurological deficits and consider additional testing to rule out central causes of vertigo.
Used to assess vestibular function in patients with vertigo.
Document the type of tests performed and results.
Otolaryngologists often perform these tests to confirm diagnosis.
Common symptoms include sudden onset of vertigo, nausea, vomiting, and imbalance, typically without hearing loss.
