Ménière's disease, right ear
ICD-10 H81.01 is a billable code used to indicate a diagnosis of ménière's disease, right ear.
Ménière's disease is a chronic inner ear disorder characterized by episodes of vertigo, tinnitus, hearing loss, and a sensation of fullness in the affected ear. In the case of H81.01, the condition specifically affects the right ear. The pathophysiology involves an abnormal accumulation of endolymphatic fluid in the inner ear, leading to increased pressure and subsequent damage to the cochlea and vestibular system. Clinically, patients may experience sudden attacks of vertigo that can last from 20 minutes to several hours, fluctuating hearing loss that may become permanent over time, and persistent tinnitus. Diagnosis is typically made based on clinical history, audiometric testing, and exclusion of other conditions. Management may include dietary modifications, diuretics, vestibular rehabilitation, and in some cases, surgical interventions such as endolymphatic sac decompression or vestibular nerve section. Accurate coding is essential for proper reimbursement and tracking of this complex condition.
Detailed history of symptoms, audiometric test results, and treatment plans.
Patients presenting with recurrent vertigo, tinnitus, and hearing loss.
Ensure documentation reflects the episodic nature of symptoms and any interventions performed.
Neurological assessments, imaging studies if applicable, and differential diagnosis considerations.
Patients with vestibular symptoms requiring neurological evaluation.
Document any neurological findings that may differentiate Ménière's disease from other vestibular disorders.
Used for patients with intractable Ménière's disease symptoms.
Document the indication for surgery and pre-operative evaluations.
Otolaryngology specialists should ensure all surgical notes reflect the diagnosis and procedural details.
Common treatments include dietary changes (low-salt diet), diuretics, vestibular rehabilitation, and in some cases, surgical options like endolymphatic sac decompression.
