ICD-10-CM Codes
H60-H95 Diseases of the ear and mastoid process
H80-H83 Diseases of inner ear
H81- Disorders of vestibular function

2020 ICD-10-CM Diagnosis Code H81.4

Vertigo of central origin

2016

2017

2018

2019

2020 - Converted to Parent Code

Billable/Specific Code

H81.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10-CM H81.4 is a new 2020 ICD-10-CM code that became effective on October 1, 2019.
This is the American ICD-10-CM version of H81.4 - other international versions of ICD-10 H81.4 may differ.

Applicable To

Central positional nystagmus

The following code(s) above H81.4 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to H81.4:

H60-H95
2020 ICD-10-CM Range H60-H95
Diseases of the ear and mastoid process
Note
- Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition
Type 2 Excludes
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Diseases of the ear and mastoid process
H81
ICD-10-CM Diagnosis Code H81
Disorders of vestibular function
Type 1 Excludes
- epidemic vertigo (A88.1)
- vertigo NOS (R42)
Disorders of vestibular function

ICD-10-CM H81.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):

149 Dysequilibrium

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): Deleted code
2020 (effective 10/1/2019): New code

Diagnosis Index entries containing back-references to H81.4:

Nystagmus H55.00
ICD-10-CM Diagnosis Code H55.00
Unspecified nystagmus
- positional
  - benign paroxysmal H81.4
  - central H81.4
- central positional H81.4
Vertigo R42
ICD-10-CM Diagnosis Code R42
Dizziness and giddiness
Applicable To
Light-headedness
Vertigo NOS
Type 1 Excludes
vertiginous syndromes (H81.-)
vertigo from infrasound (T75.23)
- positional
  - malignant H81.4
- central H81.4 (origin)
- cerebral H81.4
- malignant positional H81.4

ICD-10-CM Codes Adjacent To H81.4

H81.31 Aural vertigo

H81.311 …… right ear

H81.312 …… left ear

H81.313 …… bilateral

H81.319 …… unspecified ear

H81.39 Other peripheral vertigo

H81.391 …… right ear

H81.392 …… left ear

H81.393 …… bilateral

H81.399 …… unspecified ear

H81.4 Vertigo of central origin

H81.8 Other disorders of vestibular function

H81.8X Other disorders of vestibular function

H81.8X1 …… right ear

H81.8X2 …… left ear

H81.8X3 …… bilateral

H81.8X9 …… unspecified ear

H81.9 Unspecified disorder of vestibular function

H81.90 …… unspecified ear

H81.91 …… right ear

H81.92 …… left ear

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2020 ICD-10-CM Diagnosis Code H81.4

Vertigo of central origin

Diseases of the ear and mastoid process

Disorders of vestibular function

Unspecified nystagmus

Dizziness and giddiness