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ICD-10 Guide
ICD-10 CodesH81.393

H81.393

Billable

Other peripheral vertigo, bilateral

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

Code Description

ICD-10 H81.393 is a billable code used to indicate a diagnosis of other peripheral vertigo, bilateral.

Key Diagnostic Point:

Bilateral peripheral vertigo refers to a condition characterized by a sensation of spinning or dizziness that arises from dysfunction in the vestibular system of both ears. This condition can be caused by various underlying issues, including vestibular neuritis, Meniere's disease, or ototoxicity from medications. Patients may present with symptoms such as imbalance, unsteadiness, and visual disturbances. The clinical evaluation often includes a thorough history, physical examination, and vestibular testing to determine the underlying cause. Diagnostic criteria may involve the use of audiometric tests, MRI, or CT scans to rule out central causes of vertigo. Management typically focuses on addressing the underlying cause, which may include vestibular rehabilitation therapy, medications to alleviate symptoms, or surgical interventions in severe cases. Accurate coding is essential for proper treatment reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to bilateral peripheral vertigo.
  • Overlap with other vestibular disorders requiring careful differentiation.
  • Potential for misdiagnosis with central causes of vertigo.
  • Need for comprehensive documentation to support the diagnosis.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to specify the underlying cause of vertigo.
  • Misuse of codes for unilateral versus bilateral conditions.
  • Inconsistent use of diagnostic tests to support the diagnosis.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with dizziness, imbalance, or hearing loss requiring vestibular assessment.

Billing Considerations

Ensure documentation clearly differentiates between peripheral and central causes of vertigo.

Neurology

Documentation Requirements

Neurological examination findings, imaging results, and differential diagnosis considerations.

Common Clinical Scenarios

Patients with vertigo and neurological symptoms needing evaluation for central causes.

Billing Considerations

Document any neurological deficits that may suggest a central cause of vertigo.

Coding Guidelines

Inclusion Criteria

Use H81.393 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant tests or imaging that confirm the diagnosis

Exclusion Criteria

Do NOT use H81.393 When
  • Exclude codes for central vertigo unless specifically indicated

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

Document the type of tests performed and the results.

Specialty Considerations

Otolaryngologists should ensure comprehensive testing is performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like bilateral peripheral vertigo, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like bilateral peripheral vertigo, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 bilateral peripheral vertigo?

Common causes include vestibular neuritis, Meniere's disease, ototoxicity from medications, and bilateral vestibular hypofunction.