Vertiginous syndromes in diseases classified elsewhere, bilateral
ICD-10 H82.3 is a billable code used to indicate a diagnosis of vertiginous syndromes in diseases classified elsewhere, bilateral.
H82.3 refers to vertiginous syndromes that occur bilaterally in the context of other diseases affecting the ear and mastoid process. This code is often used when patients present with dizziness or vertigo that is not solely attributable to primary vestibular disorders but rather secondary to conditions such as bilateral otitis media, bilateral vestibular schwannomas, or other systemic diseases that impact the auditory and vestibular systems. Clinical manifestations may include episodes of spinning sensations, imbalance, and associated symptoms like tinnitus or hearing loss. Diagnosis typically involves a thorough history, physical examination, and may include audiometric testing, imaging studies, and vestibular function tests to ascertain the underlying cause. Management strategies can vary widely, from medical treatment of the underlying condition to surgical interventions, depending on the etiology of the vertiginous symptoms.
Detailed history of ear symptoms, audiometric results, and imaging studies.
Patients with bilateral otitis media presenting with vertigo.
Ensure clear documentation of the relationship between ear disease and vertiginous symptoms.
Neurological examination findings, imaging results, and differential diagnoses.
Patients with vestibular migraines presenting with bilateral symptoms.
Document any neurological deficits that may accompany vertigo.
Used when evaluating hearing loss in patients with vertiginous symptoms.
Audiometric results and clinical correlation with vertiginous symptoms.
Otolaryngologists should ensure comprehensive documentation of findings.
Performed in patients with ear blockage contributing to vertigo.
Document the presence of cerumen impaction and its relation to vertiginous symptoms.
Ensure proper linkage between the procedure and the diagnosis.
H82.3 can be used when vertiginous symptoms are secondary to conditions such as bilateral otitis media, vestibular schwannomas, or systemic diseases affecting the vestibular system.
H82.3 is specifically for vertiginous syndromes that are secondary to other diseases. If the vertigo is due to a primary vestibular disorder, codes from the H81 category should be used instead.
