ICD-10 Coding for Benign Vertigo(H81.10, H81.11, H81.12, H81.13)
Complete ICD-10-CM coding and documentation guide for Benign Vertigo. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Benign Vertigo
H81.10-H81.13Primary Range
Benign paroxysmal vertigo
This range covers the specific codes for BPPV, including laterality.
Dizziness and giddiness
Used when vertigo is present but the specific cause is not yet identified.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H81.10 | Benign paroxysmal vertigo, unspecified ear | Use when BPPV is diagnosed but the affected ear is not specified. |
|
| H81.11 | Benign paroxysmal vertigo, right ear | Use when BPPV is confirmed in the right ear. |
|
| H81.12 | Benign paroxysmal vertigo, left ear | Use when BPPV is confirmed in the left ear. |
|
| H81.13 | Benign paroxysmal vertigo, bilateral | Use when BPPV is confirmed in both ears. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for benign vertigo
Essential facts and insights about Benign Vertigo
Primary ICD-10-CM Codes for benign vertigo
Decision Criteria
clinical Criteria
- Presence of positional vertigo with positive Dix-Hallpike test
Applicable To
- BPPV without specified laterality
Excludes
- Central vertigo
- Vestibular neuronitis
Clinical Validation Requirements
- Positive Dix-Hallpike test
- Positional vertigo symptoms
Code-Specific Risks
- Potential for reduced reimbursement due to lack of specificity
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
H81.11 - Benign paroxysmal vertigo, right ear
Use when BPPV is confirmed in the right ear.
Applicable To
- BPPV affecting the right ear
Excludes
- Central vertigo
- Vestibular neuronitis
Clinical Validation Requirements
- Positive Dix-Hallpike test on the right side
- Right-sided positional vertigo symptoms
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
H81.12 - Benign paroxysmal vertigo, left ear
Use when BPPV is confirmed in the left ear.
Applicable To
- BPPV affecting the left ear
Excludes
- Central vertigo
- Vestibular neuronitis
Clinical Validation Requirements
- Positive Dix-Hallpike test on the left side
- Left-sided positional vertigo symptoms
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
H81.13 - Benign paroxysmal vertigo, bilateral
Use when BPPV is confirmed in both ears.
Applicable To
- BPPV affecting both ears
Excludes
- Central vertigo
- Vestibular neuronitis
Clinical Validation Requirements
- Positive Dix-Hallpike test on both sides
- Bilateral positional vertigo symptoms
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for hearing exam
Z01.810Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Vestibular neuronitis
H81.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Benign Vertigo to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H81.10.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Always specify the affected ear in documentation., Use templates to ensure completeness.
Impact
Reimbursement: May result in reduced reimbursement due to lack of specificity., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Leads to inaccurate clinical data and reporting.
Mitigation Strategy
Use H81.1- series when BPPV is confirmed to avoid incorrect coding.
Impact
Using unspecified codes like H81.10 can lead to audit scrutiny.
Mitigation Strategy
Ensure documentation specifies laterality to use the most specific code.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Benign Vertigo, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Benign Vertigo
Use these documentation templates to ensure complete and accurate documentation for Benign Vertigo. These templates include all required elements for proper coding and billing.
Diagnosing and documenting BPPV
Specialty: OtolaryngologyRequired Elements
- Patient history
- Physical exam findings
- Diagnostic test results
- Treatment maneuvers
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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