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ICD-10 Guide
ICD-10 CodesH82.2

H82.2

Billable

Vertiginous syndromes in diseases classified elsewhere, left ear

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

Code Description

ICD-10 H82.2 is a billable code used to indicate a diagnosis of vertiginous syndromes in diseases classified elsewhere, left ear.

Key Diagnostic Point:

H82.2 refers to vertiginous syndromes that arise as a complication of other diseases affecting the ear, specifically the left ear. These syndromes are characterized by a sensation of spinning or dizziness that can significantly impact a patient's quality of life. Common underlying conditions include otitis media, vestibular neuritis, and Meniere's disease, which can lead to disturbances in balance and spatial orientation. Patients may present with symptoms such as vertigo, tinnitus, hearing loss, and a feeling of fullness in the ear. Diagnosis typically involves a thorough clinical history, physical examination, and may include audiometric testing, vestibular function tests, and imaging studies to rule out other causes. Management strategies may involve pharmacological treatments, vestibular rehabilitation therapy, or surgical interventions depending on the underlying cause. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of underlying diseases causing vertigo.
  • Differentiation from other vertiginous syndromes.
  • Documentation of specific ear involvement (left ear).
  • Potential for multiple co-existing conditions.

Audit Risk Factors

  • Inadequate documentation of the underlying condition.
  • Failure to specify the left ear involvement.
  • Misinterpretation of symptoms leading to incorrect coding.
  • Lack of supporting diagnostic tests in the medical record.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear symptoms, results of audiometric tests, and any imaging studies.

Common Clinical Scenarios

Patients presenting with recurrent vertigo, hearing loss, or tinnitus.

Billing Considerations

Ensure clear documentation of the left ear involvement and any surgical interventions performed.

Neurology

Documentation Requirements

Comprehensive neurological examination findings, including balance assessments.

Common Clinical Scenarios

Patients with vertigo associated with neurological conditions.

Billing Considerations

Document any differential diagnoses considered and the rationale for the final diagnosis.

Coding Guidelines

Inclusion Criteria

Use H82.2 When
  • According to ICD
  • 10 guidelines, H82
  • 2 should be used when vertiginous syndromes are a direct result of other classified diseases affecting the ear
  • Coders must ensure that the underlying condition is documented and that the left ear is specified

Exclusion Criteria

Do NOT use H82.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when evaluating a patient with vertigo and suspected hearing loss.

Documentation Requirements

Document the results of the audiometric evaluation and any relevant history.

Specialty Considerations

Otolaryngologists should ensure that the audiometric results correlate with the clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vertiginous syndromes, enabling better tracking of conditions and outcomes. H82.2 provides a clear distinction for vertiginous syndromes related to other ear diseases, improving the accuracy of clinical data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vertiginous syndromes, enabling better tracking of conditions and outcomes. H82.2 provides a clear distinction for vertiginous syndromes related to other ear diseases, improving the accuracy of clinical data.

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 significance of specifying the left ear in H82.2?

Specifying the left ear is crucial as it impacts treatment decisions and reflects the clinical presentation accurately. It also ensures compliance with coding guidelines and supports appropriate reimbursement.