ICD-10 Coding for Peripheral Vertigo(H81.1, H81.2)
Complete ICD-10-CM coding and documentation guide for Peripheral Vertigo. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Vertigo
H81.0-H81.3Primary Range
Disorders of vestibular function
This range includes codes for peripheral vertigo conditions such as BPPV and vestibular neuritis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H81.1 | Benign paroxysmal vertigo | Use when BPPV is confirmed by positional testing such as Dix-Hallpike. |
|
| H81.2 | Vestibular neuronitis | Use when vestibular neuritis is diagnosed based on clinical findings and VNG results. |
|
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 peripheral vertigo
Essential facts and insights about Peripheral Vertigo
Primary ICD-10-CM Codes for peripheral vertigo
Decision Criteria
clinical Criteria
- Positive Dix-Hallpike test
documentation Criteria
- Detailed description of vertigo episodes and triggers
Applicable To
- BPPV
- Positional vertigo
Excludes
- Central vertigo (H81.4)
Clinical Validation Requirements
- Positive Dix-Hallpike test
- Episodic vertigo triggered by head movement
Code-Specific Risks
- Misdiagnosis without positional testing
- Confusion with central vertigo
Coding Notes
- Ensure documentation includes specific test results and clinical findings.
H81.2 - Vestibular neuronitis
Use when vestibular neuritis is diagnosed based on clinical findings and VNG results.
Applicable To
- Vestibular neuritis
Excludes
- Labyrinthitis (H83.0)
Clinical Validation Requirements
- Sudden onset of vertigo
- Unilateral vestibular hypofunction on VNG
Coding Notes
Ensure documentation includes VNG results and absence of hearing loss.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Peripheral Vertigo to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H81.1.
Impact
Clinical: Misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure detailed documentation of symptoms and test results., Use specific ICD-10 codes.
Impact
Reimbursement: Potential claim denial due to lack of clinical validation., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure Dix-Hallpike or equivalent test is documented before coding.
Impact
Risk of audit if diagnosis lacks specificity or supporting documentation.
Mitigation Strategy
Ensure all diagnoses are supported by detailed clinical documentation and test results.
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 Peripheral Vertigo, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Vertigo
Use these documentation templates to ensure complete and accurate documentation for Peripheral Vertigo. These templates include all required elements for proper coding and billing.
BPPV Diagnosis
Specialty: NeurologyRequired Elements
- Patient history
- Dix-Hallpike test results
- Description of vertigo episodes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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