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ICD-10 Guide
ICD-10 CodesChapter 8: Diseases of the ear and mastoid processH82

H82

Billable

Vertiginous syndromes in diseases classified elsewhere

Chapter 8:Diseases of the ear and mastoid process

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

Code Description

ICD-10 H82 is a billable code used to indicate a diagnosis of vertiginous syndromes in diseases classified elsewhere.

Key Diagnostic Point:

Vertiginous syndromes refer to a range of conditions characterized by sensations of spinning or dizziness, often resulting from underlying diseases of the ear and mastoid process. These syndromes can arise from various etiologies, including otitis media, vestibular disorders, and other ear-related diseases. Clinical presentations may include episodes of vertigo, imbalance, and associated symptoms such as tinnitus or hearing loss. Diagnostic criteria typically involve a thorough history, physical examination, and may include audiometric testing, vestibular function tests, and imaging studies to identify the underlying cause. Management strategies depend on the specific etiology and may involve medical treatment, physical therapy, or surgical interventions. Accurate coding of vertiginous syndromes is crucial for appropriate reimbursement and tracking of healthcare outcomes, necessitating a comprehensive understanding of the patient's condition and its classification within the ICD-10 framework.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions leading to vertigo
  • Need for precise documentation of the primary disease
  • Differentiation from other types of dizziness
  • Potential for multiple diagnoses in a single encounter

Audit Risk Factors

  • Inadequate documentation of the underlying condition
  • Misclassification of vertiginous syndromes
  • Failure to link symptoms to the primary diagnosis
  • Use of unspecified codes when more specific codes are available

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, diagnostic tests performed, and treatment plans.

Common Clinical Scenarios

Patients presenting with dizziness, hearing loss, or tinnitus.

Billing Considerations

Ensure documentation reflects the relationship between vertigo and the underlying ear disease.

Neurology

Documentation Requirements

Neurological assessments, imaging results, and differential diagnoses.

Common Clinical Scenarios

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

Billing Considerations

Document any neurological evaluations to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use H82 When
  • According to ICD
  • 10 guidelines, H82 should be used when vertiginous syndromes are a consequence of diseases classified elsewhere
  • Coders must ensure that the primary condition is documented and coded appropriately, as H82 is not a standalone diagnosis

Exclusion Criteria

Do NOT use H82 When
No specific exclusions found.

Related CPT Codes

92567CPT Code

Vestibular function tests

Clinical Scenario

Used to evaluate patients with vertiginous symptoms.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Otolaryngologists should ensure tests align with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vertiginous syndromes, improving the ability to track and manage these conditions. However, it also requires coders to have a deeper understanding of the underlying diseases that may cause vertigo.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vertiginous syndromes, improving the ability to track and manage these conditions. However, it also requires coders to have a deeper understanding of the underlying diseases that may cause vertigo.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vertiginous syndromes, improving the ability to track and manage these conditions. However, it also requires coders to have a deeper understanding of the underlying diseases that may cause vertigo.

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

When should I use H82 instead of a more specific code?

H82 should be used when the vertiginous syndrome is a result of an underlying condition that is classified elsewhere, and no specific code for the underlying condition is available.