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ICD10BillableValid for clinical use

ICD-10 Code H81.4: Vertigo of central origin

H81.4 is a billable ICD-10 diagnosis code used to classify Vertigo of central origin in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the ear and mastoid process (H60-H95).

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the ear and mastoid process (H60-H95).

When is it used?

  • May be used when a clinician documents vertigo of central origin in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

Code hierarchy

chapter
8Diseases of the ear and mastoid process (H60-H95)
block
H80-H83Diseases of inner ear
category
H81Disorders of vestibular function
currentH81

Official coding notes

Inclusion terms
  • Central positional nystagmus

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

ENT Specialist

Coverage-related procedures and services

CPT 92540high
BASIC VESTIBULAR EVALUATION, INCLUDES SPONTANEOUS NYSTAGMUS TEST WITH ECCENTRIC GAZE FIXATION NYSTAGMUS, WITH RECORDING, POSITIONAL NYSTAGMUS TEST, MINIMUM OF 4 POSITIONS, WITH RECORDING, OPTOKINETIC NYSTAGMUS TEST, BIDIRECTIONAL FOVEAL AND PERIPHERAL STIMULATION, WITH RECORDING, AND OSCILLATING TRACKING TEST, WITH RECORDING
Source: CMS coverage guidance
CPT 92537high
CALORIC VESTIBULAR TEST WITH RECORDING, BILATERAL; BITHERMAL (IE, ONE WARM AND ONE COOL IRRIGATION IN EACH EAR FOR A TOTAL OF FOUR IRRIGATIONS)
Source: CMS coverage guidance
CPT 92538high
CALORIC VESTIBULAR TEST WITH RECORDING, BILATERAL; MONOTHERMAL (IE, ONE IRRIGATION IN EACH EAR FOR A TOTAL OF TWO IRRIGATIONS)
Source: CMS coverage guidance
CPT 92544high
OPTOKINETIC NYSTAGMUS TEST, BIDIRECTIONAL, FOVEAL OR PERIPHERAL STIMULATION, WITH RECORDING
Source: CMS coverage guidance
CPT 92545high
OSCILLATING TRACKING TEST, WITH RECORDING
Source: CMS coverage guidance
CPT 92542high
POSITIONAL NYSTAGMUS TEST, MINIMUM OF 4 POSITIONS, WITH RECORDING
Source: CMS coverage guidance

Coding guidelines

Compatibility

Legacy and official ICD code match exactly.
Legacy codes
H81.4

Common synonyms

Vertigo of central origin

Frequently asked questions

Code details

CodeH81.4
SystemICD10
Display nameVertigo of central origin
ChapterDiseases of the ear and mastoid process (H60-H95)
BlockDiseases of inner ear

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

Index terms

Matched terms
NystagmusNystagmusNystagmusVertigoVertigoVertigoVertigo

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.