Vestibular neuronitis, unspecified ear
ICD-10 H81.20 is a billable code used to indicate a diagnosis of vestibular neuronitis, unspecified ear.
Vestibular neuronitis is an inflammatory condition affecting the vestibular nerve, which is responsible for balance. It typically presents with sudden onset vertigo, often accompanied by nausea, vomiting, and imbalance, but without auditory symptoms such as hearing loss or tinnitus. The condition is usually unilateral, affecting one ear, but in this case, it is unspecified. Diagnosis is primarily clinical, supported by patient history and physical examination, including tests such as the head impulse test and possibly imaging studies to rule out other causes. Management focuses on symptomatic relief, often utilizing vestibular suppressants and antiemetics. Most patients recover within a few weeks, although some may experience lingering balance issues. Understanding the nuances of vestibular neuronitis is crucial for accurate coding, as it can be confused with other vestibular disorders, necessitating careful documentation and differentiation.
Detailed history of symptoms, physical examination findings, and any diagnostic tests performed.
Patients presenting with acute vertigo, nausea, and imbalance without hearing loss.
Ensure clear documentation of the absence of auditory symptoms to support the use of H81.20.
Comprehensive neurological examination and any imaging studies to rule out central causes of vertigo.
Patients with vertigo and neurological signs that require differentiation from central vestibular disorders.
Document any neurological findings that may suggest alternative diagnoses.
Used to assess vestibular function in patients with vertigo.
Document the specific tests performed and the rationale for testing.
Otolaryngologists should ensure tests are relevant to the diagnosis.
Vestibular neuronitis typically presents with sudden onset vertigo, nausea, vomiting, and imbalance, without auditory symptoms such as hearing loss or tinnitus.
Diagnosis is primarily clinical, based on patient history and physical examination, often supplemented by vestibular function tests and imaging to rule out other conditions.
