Vertigo ICD-10-CM Codes | 2023

What ICD-10 codes can be used for vertigo?

1. H81.313

• This ICD-10 code stands for Aural vertigo, bilateral. This is meant to be used on patients who are confirmed to have aural vertigo, which is also known as Ménière's Disease. This particular type of vertigo occurs in the inner ear. Patients who have this suffer from severe dizziness, hearing loss, and a ringing sound in the ears. The bilateral part of the ICD-10 code’s name is used to designate that the patient is suffering from aural vertigo and both ears have it.  

2. H81.4

• This ICD-10 code stands for Vertigo of central origin. This is meant to be used on patients confirmed to have central vertigo. This type of vertigo causes patients to see, or rather hallucinate, that their surroundings are moving. Those who have this may also feel like they’re spinning around even when they’re standing still.

3. H81.393

• This ICD-10 code stands for Other peripheral vertigo, bilateral. This is meant to be used on patients who are confirmed to have peripheral vertigo in both ears. Other peripheral vertigo means this code encompasses the types of peripheral vertigo that do not have seecific ICD-10 codes.

4. T75.23XA

• This ICD-10 code stands for Vertigo from infrasound, initial encounter. This is meant to be used on patients who are confirmed to have vertigo that was caused by infrasound exposure, meaning they were exposed to intense soundwaves above 20 Hz. Being exposed to such intense soundwaves can result in vertigo along with other annoyances like tinnitus, nausea, and headaches.

• The initial encounter in the name of this ICD-10 code means that the patient is currently receiving active treatment for it.

5. H81.13

• This ICD-10 code stands for Benign paroxysmal vertigo, bilateral. This is meant to be used on patients who are confirmed to have benign paroxysmal vertigo in both ears. Those who have this will that their whole world or the inside of their head is spinning. They will also have episodes where they feel dizzy, and the intensity of the dizziness will vary.

Which of these vertigo codes are billable?

All of the aforementioned codes are billable codes and can be used to designate a patient for reimbursement purposes.

Clinical information:

Vertigo is commonly mistaken for a condition, but it is more accurately classified as a symptom rather than an independent ailment. The root of vertigo lies in issues within the inner ear, leading to a sensation of dizziness. The intensity of this dizziness varies from person to person, ranging from mild to severe. Individuals experiencing vertigo often perceive a sensation of falling and a disorienting spinning of their surroundings.

Inner ear problems like the following can cause vertigo:

• Benign Paroxysmal Positional Vertigo (BPPV)
• Ménière's Disease
• Vestibular neuritis or labyrinthitis
• Migraines
• Stroke

People who have vertigo will have the following symptoms:

• The feeling of being unbalance and falling
• The feeling of spinning (whether it’s their head or the world around them)
• The feeling of tilting and swaying
• Nausea
• Headaches and dizziness
• Tinnitus
• Hearing loss
• Vomiting

Treatment of vertigo will depend on the severity and what exactly is causing it. In some cases, sufficient rest may be the sole requirement. Other times, medication may be prescribed to alleviate nausea and address the specific factors contributing to the vertigo. Vestibular rehabilitation can also be pursued as a viable option. In instances of severe vertigo, surgical intervention may be necessary.

Synonyms include:

• Cerebellar vertigo
• Cortical vertigo
• Central positional vertigo
• Brain stem vertigo
• Malignant positional vertigo
• Vertigo as late effect of stroke
• Vertigo as sequela of cerebrovascular disease
• Vertigo due to brain injury
• Vertigo of central origin