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ICD-10 Guide
ICD-10 CodesH81.391

H81.391

Billable

Other peripheral vertigo, right ear

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

Code Description

ICD-10 H81.391 is a billable code used to indicate a diagnosis of other peripheral vertigo, right ear.

Key Diagnostic Point:

H81.391 refers to other types of peripheral vertigo affecting the right ear, which can arise from various etiologies such as vestibular neuritis, benign paroxysmal positional vertigo (BPPV), or labyrinthitis. Patients typically present with symptoms of dizziness, imbalance, and a sensation of spinning, which may be triggered by changes in head position or movement. The condition can be associated with hearing loss, tinnitus, or aural fullness, depending on the underlying cause. Diagnosis often involves a thorough clinical 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 in some cases, surgical interventions if conservative measures fail. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to peripheral vertigo
  • Need for differential diagnosis to rule out central causes
  • Potential overlap with other vestibular disorders
  • Variability in clinical presentation and severity

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the type of peripheral vertigo
  • Misclassification of central vs. peripheral vertigo
  • Lack of supporting diagnostic tests

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute onset of vertigo, recurrent episodes, or associated hearing loss.

Billing Considerations

Ensure documentation reflects the specific type of vertigo and any associated conditions.

Neurology

Documentation Requirements

Comprehensive neurological examination findings, results from vestibular function tests, and any relevant imaging.

Common Clinical Scenarios

Patients with vertigo who may have central nervous system involvement or atypical presentations.

Billing Considerations

Differentiating between peripheral and central causes is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use H81.391 When
  • According to ICD
  • 10 guidelines, H81
  • 391 should be used when the documentation specifies 'other peripheral vertigo' affecting the right ear
  • It is important to ensure that the diagnosis is supported by clinical findings and any relevant tests

Exclusion Criteria

Do NOT use H81.391 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92540CPT Code

Caloric vestibular testing

Clinical Scenario

Used to assess vestibular function in patients with vertigo.

Documentation Requirements

Document the indications for testing and results.

Specialty Considerations

Otolaryngologists often perform this procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vertigo types, improving the accuracy of diagnoses and treatment tracking. H81.391 provides a distinct code for other peripheral vertigo, enhancing data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vertigo types, improving the accuracy of diagnoses and treatment tracking. H81.391 provides a distinct code for other peripheral vertigo, enhancing data collection and analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vertigo types, improving the accuracy of diagnoses and treatment tracking. H81.391 provides a distinct code for other peripheral vertigo, enhancing data collection and analysis.

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 are the common causes of peripheral vertigo?

Common causes include vestibular neuritis, BPPV, labyrinthitis, and Meniere's disease. Each has distinct clinical features and management strategies.