ICD-10 Coding for Benign Paroxysmal Vertigo(H81.10, H81.11, H81.12)
Complete ICD-10-CM coding and documentation guide for Benign Paroxysmal 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 Vertigo
H81.1Primary Range
Disorders of vestibular function
This range includes codes specific to benign paroxysmal vertigo, detailing laterality and specific conditions.
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 the affected ear is not specified in the documentation. |
|
| H81.11 | Benign paroxysmal vertigo, right ear | Use when documentation specifies the right ear is affected. |
|
| H81.12 | Benign paroxysmal vertigo, left ear | Use when documentation specifies the left ear is affected. |
|
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 paroxysmal vertigo
Essential facts and insights about Benign Paroxysmal Vertigo
Primary ICD-10-CM Codes for benign paroxysmal vertigo
Decision Criteria
clinical Criteria
- Positive positional test without hearing loss.
Applicable To
- Benign paroxysmal positional vertigo
Excludes
- Labyrinthitis (H83.0-)
Clinical Validation Requirements
- Positive Dix-Hallpike test
- Absence of hearing loss
Code-Specific Risks
- Risk of under-documentation if laterality is not specified.
Coding Notes
- Ensure documentation specifies positional triggers and absence of other vestibular disorders.
H81.11 - Benign paroxysmal vertigo, right ear
Use when documentation specifies the right ear is affected.
Applicable To
- Benign paroxysmal positional vertigo, right
Excludes
- Labyrinthitis (H83.0-)
Clinical Validation Requirements
- Positive Dix-Hallpike test on the right
- Absence of hearing loss
Coding Notes
Document specific ear involvement and positional triggers.
H81.12 - Benign paroxysmal vertigo, left ear
Use when documentation specifies the left ear is affected.
Applicable To
- Benign paroxysmal positional vertigo, left
Excludes
- Labyrinthitis (H83.0-)
Clinical Validation Requirements
- Positive Dix-Hallpike test on the left
- Absence of hearing loss
Coding Notes
Document specific ear involvement and positional triggers.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dizziness and giddiness
R42Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Labyrinthitis
H83.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Benign Paroxysmal 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: Misrepresents the patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims due to incorrect coding.
Mitigation Strategy
Ensure BPPV is confirmed with positional tests., Use H81.1X codes for confirmed cases.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreased accuracy in clinical data records.
Mitigation Strategy
Query the provider to specify the affected ear.
Impact
Failure to specify laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory fields in EHR for laterality documentation.
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 Vertigo, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Benign Paroxysmal Vertigo
Use these documentation templates to ensure complete and accurate documentation for Benign Paroxysmal Vertigo. These templates include all required elements for proper coding and billing.
ENT evaluation for vertigo
Specialty: OtolaryngologyRequired Elements
- Patient age and gender
- Duration and triggers of vertigo
- Results of positional tests
- Laterality of symptoms
- Absence of hearing loss
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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