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ICD-10 Guide
ICD-10 CodesH81.3

H81.3

Billable

Other peripheral vertigo

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H81.3 is a billable code used to indicate a diagnosis of other peripheral vertigo.

Key Diagnostic Point:

Other peripheral vertigo refers to a variety of conditions that cause dizziness or a sensation of spinning, which are not classified under more specific types of peripheral vertigo such as benign paroxysmal positional vertigo (BPPV) or Meniere's disease. This condition can arise from various etiologies, including vestibular neuritis, labyrinthitis, or ototoxicity due to medications. Patients may present with symptoms such as spinning sensations, imbalance, nausea, and sometimes hearing loss. The clinical evaluation typically involves a thorough history, physical examination, and may include vestibular function tests, audiometry, and imaging studies to rule out central causes of vertigo. Management strategies may include vestibular rehabilitation therapy, medications for symptomatic relief, and addressing any underlying conditions. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to peripheral vertigo.
  • Overlap with other vestibular disorders requiring careful differentiation.
  • Potential for co-morbid conditions affecting diagnosis.
  • Need for comprehensive documentation to support the diagnosis.

Audit Risk Factors

  • Inadequate documentation of the specific type of vertigo.
  • Failure to document co-existing conditions.
  • Lack of clear diagnostic testing results.
  • Misuse of the code when a more specific code is applicable.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, results of vestibular testing, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with acute vertigo, chronic dizziness, or post-viral vestibular dysfunction.

Billing Considerations

Ensure documentation reflects the specific type of peripheral vertigo and any associated hearing loss.

Neurology

Documentation Requirements

Comprehensive neurological examination findings, differential diagnoses considered, and any relevant imaging results.

Common Clinical Scenarios

Patients with vertigo that may have a central cause or those with complex vestibular disorders.

Billing Considerations

Document any neurological deficits that may help differentiate peripheral from central causes.

Coding Guidelines

Inclusion Criteria

Use H81.3 When
  • According to official coding guidelines, H81
  • 3 should be used when the specific cause of peripheral vertigo is not documented
  • It is important to ensure that the documentation supports the diagnosis and that any relevant tests or evaluations are noted

Exclusion Criteria

Do NOT use H81.3 When
  • Exclusion criteria include conditions that are more specifically defined under other codes

Related ICD-10 Codes

Related CPT Codes

92540CPT Code

Vestibular function tests

Clinical Scenario

Used when evaluating a patient for peripheral vertigo.

Documentation Requirements

Document the specific tests performed and the rationale for testing.

Specialty Considerations

Otolaryngologists and neurologists often perform these tests.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vertigo conditions, improving the ability to capture the complexity of peripheral vertigo cases. H81.3 provides a broader category for conditions that do not fit into more specific classifications, allowing for better tracking and management of these patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vertigo conditions, improving the ability to capture the complexity of peripheral vertigo cases. H81.3 provides a broader category for conditions that do not fit into more specific classifications, allowing for better tracking and management of these patients.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vertigo conditions, improving the ability to capture the complexity of peripheral vertigo cases. H81.3 provides a broader category for conditions that do not fit into more specific classifications, allowing for better tracking and management of these patients.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between H81.3 and H81.1?

H81.3 is used for other types of peripheral vertigo that do not fit into more specific categories like H81.1, which is specifically for benign paroxysmal positional vertigo.