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ICD-10 Guide
ICD-10 CodesH81.02

H81.02

Billable

Ménière's disease, left ear

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

Code Description

ICD-10 H81.02 is a billable code used to indicate a diagnosis of ménière's disease, left ear.

Key Diagnostic Point:

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. The condition primarily affects the cochlea and vestibular system, leading to fluctuating hearing loss that can progress to permanent impairment. Patients typically experience recurrent episodes of vertigo that can last from 20 minutes to several hours, often accompanied by nausea and vomiting. The exact etiology remains unclear, but it is believed to involve abnormal fluid dynamics in the inner ear. Diagnosis is based on clinical history, audiometric testing, and exclusion of other vestibular disorders. 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 condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptom severity
  • Need for comprehensive documentation of symptoms and treatment response
  • Differentiation from other vestibular disorders
  • Potential for co-morbid conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment plans
  • Failure to specify the affected ear
  • Misdiagnosis or lack of differential diagnosis documentation
  • Inconsistent coding of related conditions

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, audiometric test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with recurrent vertigo, tinnitus, and hearing loss.

Billing Considerations

Ensure documentation reflects the chronic nature of the disease and any surgical interventions performed.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient history.

Common Clinical Scenarios

Patients undergoing hearing assessments and rehabilitation for Ménière's disease.

Billing Considerations

Document the impact of hearing loss on daily activities and any assistive devices recommended.

Coding Guidelines

Inclusion Criteria

Use H81.02 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the affected ear and the presence of symptoms
  • Include any relevant co
  • morbidities that may impact treatment and management

Exclusion Criteria

Do NOT use H81.02 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69500CPT Code

Endolymphatic sac decompression

Clinical Scenario

Used in patients with refractory Ménière's disease.

Documentation Requirements

Surgical notes detailing the procedure and indication.

Specialty Considerations

Otolaryngologists must document pre-operative evaluations and post-operative follow-ups.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Ménière's disease, improving the accuracy of data collection and reimbursement processes. The granularity of ICD-10 codes helps in better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Ménière's disease, improving the accuracy of data collection and reimbursement processes. The granularity of ICD-10 codes helps in better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. The granularity of ICD-10 codes helps in better tracking of disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What are the primary symptoms of Ménière's disease?

The primary symptoms include recurrent episodes of vertigo, tinnitus, fluctuating hearing loss, and a sensation of fullness in the affected ear.