ICD-10 Coding for Benign Paroxysmal Positional Vertigo(H81.11, H81.12, H81.13)
Complete ICD-10-CM coding and documentation guide for Benign Paroxysmal Positional Vertigo. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Benign Paroxysmal Positional Vertigo
H81.10-H81.13Primary Range
Disorders of vestibular function
This range includes specific codes for BPPV based on laterality and recurrence.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H81.11 | Benign paroxysmal vertigo, right ear | Use when BPPV is confirmed in the right ear through positional testing. |
|
| H81.12 | Benign paroxysmal vertigo, left ear | Use when BPPV is confirmed in the left ear through positional testing. |
|
| H81.13 | Benign paroxysmal vertigo, bilateral | Use when BPPV is confirmed in both ears through positional testing. |
|
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 BPPV
Essential facts and insights about Benign Paroxysmal Positional Vertigo
Primary ICD-10-CM Codes for bppv
Decision Criteria
clinical Criteria
- Positive Dix-Hallpike test with specific nystagmus characteristics
Applicable To
- Right ear BPPV confirmed by positional testing
Clinical Validation Requirements
- Positive right Dix-Hallpike with torsional upbeating nystagmus lasting <60s
Code-Specific Risks
- Incorrect laterality documentation
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 through positional testing.
Applicable To
- Left ear BPPV with canal-specific localization
Excludes
- Epidemic vertigo (A88.1)
- Vertigo NOS (R42)
Clinical Validation Requirements
- Left lateral canal BPPV confirmed by supine roll test with geotropic nystagmus
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
H81.13 - Benign paroxysmal vertigo, bilateral
Use when BPPV is confirmed in both ears through positional testing.
Applicable To
- Bilateral recurrent BPPV
Excludes
- Epidemic vertigo (A88.1)
- Vertigo NOS (R42)
Clinical Validation Requirements
- Recurrent episodes affecting both ears, last treated with bilateral Gufoni maneuvers
Coding Notes
Ensure bilateral involvement is documented to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dizziness and giddiness
R42Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Benign Paroxysmal Positional Vertigo to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H81.11.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Ensure all positional tests are documented with specific results., Train staff on the importance of detailed documentation.
Impact
Reimbursement: May lead to denied claims if BPPV is not coded correctly., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on BPPV prevalence and treatment.
Mitigation Strategy
Document specific test results confirming BPPV and use the appropriate H81.1x code.
Impact
Reimbursement: Claims may be downcoded or denied., Compliance: Failure to meet specificity requirements., Data Quality: Loss of data granularity regarding laterality.
Mitigation Strategy
Ensure documentation includes laterality to use the correct H81.1x code.
Impact
Failure to document the affected ear can lead to incorrect coding.
Mitigation Strategy
Implement a checklist for documentation that includes laterality.
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 Paroxysmal Positional Vertigo, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Benign Paroxysmal Positional Vertigo
Use these documentation templates to ensure complete and accurate documentation for Benign Paroxysmal Positional Vertigo. These templates include all required elements for proper coding and billing.
ENT Progress Note for BPPV
Specialty: OtolaryngologyRequired Elements
- Location of BPPV
- Maneuvers performed
- Test results
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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