Benign paroxysmal vertigo, left ear
ICD-10 H81.12 is a billable code used to indicate a diagnosis of benign paroxysmal vertigo, left ear.
Benign paroxysmal vertigo (BPV) is a common vestibular disorder characterized by brief episodes of vertigo triggered by specific head movements. It occurs due to dislodged otoliths (calcium carbonate crystals) that migrate into the semicircular canals of the inner ear, particularly affecting the left ear in this case. Patients typically experience sudden, intense spinning sensations that can last from a few seconds to a couple of minutes. The episodes may be provoked by actions such as rolling over in bed, looking up, or bending down. Diagnosis is primarily clinical, often supported by the Dix-Hallpike maneuver, which can reproduce the vertigo and nystagmus associated with BPV. Management usually involves vestibular rehabilitation therapy and repositioning maneuvers, such as the Epley maneuver, which aims to relocate the displaced otoliths. While BPV is benign and self-limiting, it can significantly impact a patient's quality of life, necessitating accurate diagnosis and appropriate coding for effective treatment and reimbursement.
Detailed history of vertigo episodes, results of vestibular testing, and treatment plans.
Patients presenting with recurrent vertigo, especially after head movements.
Ensure documentation specifies the affected ear and any relevant comorbidities.
Comprehensive neurological examination findings and differential diagnosis considerations.
Patients with vertigo who may have central causes needing differentiation from BPV.
Document any neurological signs that may suggest a more serious underlying condition.
Used to assess vestibular function in patients with vertigo.
Document the reason for testing and results.
Otolaryngologists often perform these tests to confirm diagnosis.
Common triggers include specific head movements such as tilting the head back, rolling over in bed, or looking up. These movements can provoke the vertigo episodes due to the displacement of otoliths in the inner ear.
