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    OpenPayerBilling CodesDiseases of inner earICD-10-CM h81-disorders-of-vestibular-function
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    ICD-10-CM Code For Disorders Of Vestibular Function: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H81 includes diagnoses for disorders of vestibular function such as benign paroxysmal positional vertigo, vestibular neuronitis, and other peripheral and central vestibular syndromes that cause vertigo and balance impairment. These ICD-10-CM diagnosis codes are used to document clinical encounters for patients presenting with dizziness, vertigo, balance disturbances, hearing-related vestibular symptoms, and related inner ear dysfunction, capturing disease severity and organ system involvement. Accurate coding within the ICD-10-CM H81 group supports proper claim adjudication.

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    ICD-10-CM H81: Disorders Of Vestibular Function Overview

    The ICD-10-CM H81 diagnoses represent vestibular system disorders that cause vertigo, balance disturbance, and other inner ear-related symptoms. These codes target conditions affecting the vestibular apparatus and its central connections within the otologic and neurologic domains. Accurate coding matters for appropriate claim adjudication and to reflect clinical complexity for reimbursement.

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    When to Use

    Use a code from this group when a patient presents with clinical findings of vestibular dysfunction such as positional vertigo, spontaneous vertigo, or acute vestibular neuritis confirmed by examination or testing. Select the most specific code reflecting laterality, episodic versus persistent presentation, and documented subtype when available.

    ICD-10-CM Codes

    29 rows

    ICD-10-CM CodeDescription
    H81.01Meniere's disease, right ear
    H81.02Meniere's disease, left ear
    H81.03Meniere's disease, bilateral
    H81.09Meniere's disease, unspecified ear
    H81.10Benign paroxysmal vertigo, unspecified ear
    H81.11Benign paroxysmal vertigo, right ear
    H81.12Benign paroxysmal vertigo, left ear
    H81.13Benign paroxysmal vertigo, bilateral
    H81.20Vestibular neuronitis, unspecified ear
    H81.21Vestibular neuronitis, right ear
    H81.22Vestibular neuronitis, left ear
    H81.23Vestibular neuronitis, bilateral
    H81.311Aural vertigo, right ear
    H81.312Aural vertigo, left ear
    H81.313Aural vertigo, bilateral
    H81.319Aural vertigo, unspecified ear
    H81.391Other peripheral vertigo, right ear
    H81.392Other peripheral vertigo, left ear
    H81.393Other peripheral vertigo, bilateral
    H81.399Other peripheral vertigo, unspecified ear

    Showing 1–20 of 29

    DRG Codes

    1 rows

    DRG CodeDescription
    149Dysequilibrium

    Typical Clinical Scenarios

    • A middle-aged patient presents to the emergency department with sudden onset severe spinning vertigo, nausea, vomiting, and difficulty standing that started this morning after a viral respiratory illness. Physical exam reveals a unidirectional horizontal-torsional spontaneous nystagmus beating away from the affected ear and a positive head impulse test, consistent with acute vestibular neuritis; a code from this group is assigned to capture the acute peripheral vestibular dysfunction. Typical codes: H81.11, H81.12
    • An older adult reports recurrent brief episodes of positional vertigo precipitated by rolling in bed or looking up, with characteristic brief bursts of intense dizziness provoked by Dix–Hallpike maneuver; symptoms have been intermittent for months and impact sleep and mobility. The working diagnosis is benign paroxysmal positional vertigo (BPPV), and a code from this group is used to document the chronic, positional peripheral vestibular disorder and guide symptom management and canalith repositioning considerations. Typical codes: H81.11, H81.12
    • A patient with a chronic history of unilateral hearing loss and recurrent episodes of aural fullness, tinnitus, and progressive episodic vertigo presents for ongoing management; audiometry shows fluctuating low-frequency sensorineural hearing loss and clinical history suggests a Meniere-like syndrome or endolymphatic hydrops as a comorbidity to their hearing disease. A code from this group is assigned to indicate a chronic peripheral vestibular disorder associated with the inner ear disease and to document the vestibular component as a comorbidity. Typical codes: H81.01, H81.02

    Related Codes

    H80-OTOSCLEROSIS

    ICD-10-CM Code For Otosclerosis: Group Overview

    H82-VERTIGINOUS-SYNDROMES

    ICD-10-CM Code For Vertiginous Syndromes In Diseases Classified Elsewhere: Group Overview

    H83-OTHER-DISEASES-OF-INNER-EAR

    ICD-10-CM Code For Other Diseases Of Inner Ear: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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