Unspecified disorder of vestibular function, right ear
ICD-10 H81.91 is a billable code used to indicate a diagnosis of unspecified disorder of vestibular function, right ear.
H81.91 refers to an unspecified disorder of vestibular function affecting the right ear. This condition encompasses a range of vestibular dysfunctions that may lead to symptoms such as dizziness, imbalance, and vertigo. The vestibular system, located in the inner ear, plays a crucial role in maintaining balance and spatial orientation. Disorders can arise from various etiologies, including infections, trauma, or idiopathic causes. Patients may present with complaints of spinning sensations, difficulty walking, or feeling unsteady, which can significantly impact their quality of life. Diagnostic evaluation typically involves a thorough clinical history, physical examination, and may include vestibular function tests such as electronystagmography (ENG) or videonystagmography (VNG). Management strategies may vary based on the underlying cause and can include vestibular rehabilitation therapy, medications for symptom control, or surgical interventions in more severe cases. Accurate coding is essential for appropriate treatment and reimbursement.
Detailed history of symptoms, results of vestibular testing, and treatment plans.
Patients presenting with dizziness, vertigo, or imbalance.
Ensure documentation specifies the right ear and includes any relevant imaging or test results.
Neurological examination findings, differential diagnoses considered, and management plans.
Patients with vestibular symptoms potentially related to neurological conditions.
Document any neurological assessments performed to rule out central causes of vestibular dysfunction.
Used to evaluate vestibular function in patients with dizziness.
Document the reason for the test and the findings.
Otolaryngologists should ensure that the test results correlate with the diagnosis.
Use H81.91 when a patient presents with vestibular dysfunction affecting the right ear, and no specific diagnosis has been established after thorough evaluation.
