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v1.0.0
ICD-10 Guide
ICD-10 CodesH81.313

H81.313

Billable

Aural vertigo, bilateral

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

Code Description

ICD-10 H81.313 is a billable code used to indicate a diagnosis of aural vertigo, bilateral.

Key Diagnostic Point:

Aural vertigo, bilateral, is characterized by episodes of dizziness or a spinning sensation that occurs due to disturbances in the vestibular system of both ears. This condition can arise from various etiologies, including vestibular neuritis, Meniere's disease, or bilateral vestibular schwannomas. Patients may experience symptoms such as imbalance, nausea, and tinnitus, which can significantly impact their quality of life. The diagnosis is typically made through a combination of clinical history, physical examination, and specialized tests such as vestibular function tests or imaging studies. Management may include vestibular rehabilitation therapy, medications to control symptoms, and in some cases, surgical interventions. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between unilateral and bilateral conditions
  • Need for comprehensive documentation of symptoms and history
  • Potential overlap with other vestibular disorders
  • Variability in treatment approaches and management strategies

Audit Risk Factors

  • Inadequate documentation of bilateral symptoms
  • Failure to specify the underlying cause of vertigo
  • Misuse of related codes for unilateral conditions
  • Lack of supporting diagnostic tests in the medical record

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, results of vestibular testing, and treatment plans.

Common Clinical Scenarios

Patients presenting with dizziness, tinnitus, and hearing loss.

Billing Considerations

Ensure documentation reflects the bilateral nature of the condition and any associated diagnoses.

Neurology

Documentation Requirements

Neurological examination findings, imaging results, and differential diagnoses.

Common Clinical Scenarios

Patients with vertigo associated with neurological conditions.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use H81.313 When
  • According to ICD
  • 10 guidelines, H81
  • 313 should be used when a patient presents with bilateral aural vertigo
  • It is important to document the duration, frequency, and severity of symptoms, as well as any relevant medical history and diagnostic findings

Exclusion Criteria

Do NOT use H81.313 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92540CPT Code

Vestibular function tests

Clinical Scenario

Used to evaluate patients with suspected vestibular disorders.

Documentation Requirements

Document the specific tests performed and the rationale for testing.

Specialty Considerations

Otolaryngologists and neurologists should ensure comprehensive documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like bilateral aural vertigo, improving the accuracy of patient records and facilitating better management strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like bilateral aural vertigo, improving the accuracy of patient records and facilitating better management strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like bilateral aural vertigo, improving the accuracy of patient records and facilitating better management strategies.

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 common causes of bilateral aural vertigo?

Common causes include vestibular neuritis, Meniere's disease, and bilateral vestibular schwannomas. Other factors may include systemic conditions affecting the inner ear.