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ICD-10 Guide
ICD-10 CodesH81.311

H81.311

Billable

Aural vertigo, right ear

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

Code Description

ICD-10 H81.311 is a billable code used to indicate a diagnosis of aural vertigo, right ear.

Key Diagnostic Point:

Aural vertigo, also known as vestibular vertigo, is characterized by a sensation of spinning or dizziness that originates from the inner ear. In the case of H81.311, the vertigo is specifically associated with the right ear. This condition can arise from various vestibular disorders, including Meniere's disease, vestibular neuritis, or labyrinthitis. Patients may experience episodes of vertigo, tinnitus, and hearing loss, which can significantly impact their quality of life. The clinical presentation often includes sudden onset of vertigo, which may last from minutes to hours, and is typically exacerbated by head movements. Diagnostic criteria involve a thorough clinical history, physical examination, and may include audiometric testing and imaging studies to rule out other causes. Management strategies may include vestibular rehabilitation therapy, medications such as antihistamines or benzodiazepines for symptomatic relief, and in some cases, surgical interventions. Accurate coding is essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of vertigo and their underlying causes
  • Need for precise documentation of symptoms and duration
  • Potential overlap with other vestibular disorders
  • Variability in treatment approaches based on etiology

Audit Risk Factors

  • Inadequate documentation of symptoms and duration
  • Failure to specify the affected ear
  • Misclassification of vertigo type
  • Lack of supporting diagnostic tests

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of vertigo episodes, audiometric results, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with sudden onset vertigo, tinnitus, and hearing loss.

Billing Considerations

Ensure documentation reflects the specific ear affected and any associated conditions.

Neurology

Documentation Requirements

Comprehensive neurological examination findings and differential diagnoses considered.

Common Clinical Scenarios

Patients with vertigo as a symptom of a neurological condition.

Billing Considerations

Document any neurological assessments performed to rule out central causes of vertigo.

Coding Guidelines

Inclusion Criteria

Use H81.311 When
  • According to ICD
  • 10 guidelines, H81
  • 311 should be used when the clinical documentation specifies aural vertigo localized to the right ear
  • It is important to ensure that the diagnosis is supported by clinical findings and any relevant diagnostic tests

Exclusion Criteria

Do NOT use H81.311 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92567CPT Code

Vestibular function tests

Clinical Scenario

Used to assess vestibular function in patients with vertigo.

Documentation Requirements

Document the specific tests performed and the rationale for testing.

Specialty Considerations

Otolaryngologists should ensure tests align with the diagnosis of aural vertigo.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding conditions like aural vertigo, improving the accuracy of diagnosis and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding conditions like aural vertigo, improving the accuracy of diagnosis and treatment tracking.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between H81.311 and H81.312?

H81.311 is used for aural vertigo specifically in the right ear, while H81.312 is for the left ear. Accurate documentation of the affected ear is crucial for proper coding.