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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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

      2016 2017 2018 2019 2020 Billable/Specific Code
    • positional
      • benign paroxysmal H81.4
      • central H81.4
    • central positional H81.4
  • Vertigo R42
    ICD-10-CM Diagnosis Code R42

    Dizziness and giddiness

      2016 2017 2018 2019 2020 Billable/Specific Code
    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.