Benign paroxysmal vertigo, right ear
ICD-10 H81.11 is a billable code used to indicate a diagnosis of benign paroxysmal vertigo, right ear.
Benign paroxysmal vertigo (BPV) is a common vestibular disorder characterized by brief episodes of vertigo triggered by specific head movements. It is caused by dislodged otoliths (calcium carbonate crystals) that migrate into the semicircular canals of the inner ear, particularly affecting the right ear in this case. Patients typically experience sudden, intense spinning sensations that can last from a few seconds to a couple of minutes. Symptoms may be exacerbated by changes in head position, such as rolling over in bed or looking up. The condition is often diagnosed through clinical history and physical examination, particularly the Dix-Hallpike maneuver, which can reproduce vertiginous symptoms. Management primarily involves vestibular rehabilitation therapy and repositioning maneuvers, such as the Epley maneuver, aimed at relocating the displaced otoliths. BPV is generally self-limiting, but recurrent episodes may necessitate further evaluation to rule out other vestibular disorders. Accurate coding is essential for appropriate reimbursement and to reflect the patient's clinical status.
Detailed history of vertiginous episodes, results of vestibular testing, and treatment plans.
Patients presenting with recurrent vertigo, postural instability, or complaints of dizziness.
Ensure documentation specifies the right ear involvement and any associated symptoms.
Comprehensive neurological examination findings, differential diagnoses considered, and any imaging studies performed.
Patients with vertigo who may have central causes of dizziness needing differentiation from BPV.
Document any neurological signs that may indicate a need for further investigation.
Used to assess vestibular function in patients with vertigo.
Document the rationale for testing and results.
Otolaryngologists may perform this test to differentiate BPV from other vestibular disorders.
Common triggers include specific head movements such as tilting the head back, rolling over in bed, or looking up. These movements can cause the dislodged otoliths to stimulate the vestibular system, leading to vertigo.
