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ICD-10 Guide
ICD-10 CodesH81.392

H81.392

Billable

Other peripheral vertigo, left ear

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

Code Description

ICD-10 H81.392 is a billable code used to indicate a diagnosis of other peripheral vertigo, left ear.

Key Diagnostic Point:

H81.392 refers to a specific type of peripheral vertigo affecting the left ear, characterized by a sensation of spinning or dizziness that arises from disturbances in the vestibular system. Peripheral vertigo is often caused by issues within the inner ear, such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or labyrinthitis. Patients may present with symptoms including dizziness, imbalance, nausea, and sometimes hearing loss. The clinical evaluation typically involves a thorough history, physical examination, and may include vestibular function tests. Management strategies can vary based on the underlying cause but often include vestibular rehabilitation therapy, medications for symptom relief, and in some cases, surgical interventions. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes, making it crucial for coders to understand the nuances of this diagnosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of vertigo (peripheral vs. central)
  • Understanding the specific ear affected (left ear)
  • Identifying underlying causes that may require additional coding
  • Navigating the relationship between vertigo and other ear conditions

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the affected ear
  • Misclassification of vertigo type
  • Lack of supporting diagnostic tests

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, physical examination findings, and results of vestibular tests.

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly differentiate between peripheral and central causes of vertigo.

Neurology

Documentation Requirements

Comprehensive neurological examination and assessment of vestibular function.

Common Clinical Scenarios

Patients with vertigo accompanied by neurological symptoms such as headache or visual disturbances.

Billing Considerations

Careful documentation of differential diagnoses is crucial to support coding.

Coding Guidelines

Inclusion Criteria

Use H81.392 When
  • According to ICD
  • 10 guidelines, H81
  • 392 should be used when peripheral vertigo is confirmed and specifically affects the left ear
  • Coders must ensure that the diagnosis is supported by clinical documentation and that other potential causes of vertigo are ruled out

Exclusion Criteria

Do NOT use H81.392 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92540CPT Code

Vestibular function tests

Clinical Scenario

Used to assess vestibular function in patients with vertigo.

Documentation Requirements

Results of tests must be documented to support the diagnosis.

Specialty Considerations

Otolaryngologists often perform these tests to evaluate inner ear function.

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 facilitating better patient management and research outcomes.

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 facilitating better patient management and research outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vertigo types, improving the accuracy of diagnoses and facilitating better patient management and research outcomes.

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 benign paroxysmal positional vertigo (BPPV), vestibular neuritis, and Meniere's disease, all of which can lead to symptoms of dizziness and imbalance.