Vertigo, chronic Vertigo, non-labyrinthine 780.4 Excludes Ménière's disease and other specified vertiginous syndromes ( 386.0 - 386.9) Applies To Light-headedness Vertigo NOS ICD-9-CM Volume 2 Index entries containing back-references to 780.4: Disturbance - see also Disease equilibrium 780.4 Dizziness 780.4 hysterical 300.11 psychogenic 306.9
Vertigo is medically distinct from dizziness, lightheadedness, and unsteadiness. ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 780.4 is one of thousands of ICD-9-CM codes used in healthcare.
Billable Medical Code for Dizziness and Giddiness Diagnosis Code for Reimbursement Claim: ICD-9-CM 780.4. Code will be replaced by October 2015 and relabeled as ICD-10-CM 780.4. Known As
01/10/17: Title changed from Canalith Repositioning to Treatment of Chronic Vertigo. Code 97112 added. Diagnosis codes 386.11, H81.10, H81.11, H81.12, & H81.13 removed. Policy reviewed and updated to reflect most current clinical evidence per Medical Policy Steering Committee.
H81.4ICD-10 code H81. 4 for Vertigo of central origin is a medical classification as listed by WHO under the range - Diseases of the ear and mastoid process .
ICD-9 Code 386.11 -Benign paroxysmal positional vertigo- Codify by AAPC.
H81.10ICD-10-CM Code for Benign paroxysmal vertigo, unspecified ear H81. 10.
R42- Dizziness and giddiness ›
The Epley maneuver is used to move the canaliths out of the canals so they stop causing symptoms. To perform the maneuver, your health care provider will: Turn your head toward the side that causes vertigo. Quickly lay you down on your back with your head in the same position just off the edge of the table.Aug 12, 2019
Central vertigo is vertigo due to a disease originating from the central nervous system (CNS). In clinical practice, it often includes lesions of cranial nerve VIII as well. Individuals with vertigo experience hallucinations of motion of their surroundings.Nov 26, 2018
H81.4Use H81. 4 to report vertigo of central origin.
Peripheral vertigo is described as dizziness or a spinning sensation. Other symptoms associated with peripheral vertigo include: Loss of hearing in one ear. Ringing in one or both ears. Difficulty focusing vision.Jul 2, 2021
Epidemic vertigo –> vestibular neuronitis. a paroxysmal attack of severe vertigo, not accompanied by deafness or tinnitus, which affects young to middle-aged adults, often following a non-specific upper respiratory infection; due to unilateral vestibular dysfunction.Feb 24, 2022
ICD-10-CM H81. 93 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 149 Dysequilibrium.
KeywordsSynonymsCervicogenic dizziness Cervical vertigo Neck pain associated with dizzinessICD-10 CodesM54.2Neck painR42Vertigo1 more row•Jul 6, 2019
Vertigo can be described as a dizzy or spinning sensation. Some people perceive self-motion whereas others perceive motion of the environment. Individuals may experience vertigo as an illusion of motion, vague dizziness, imbalance, disorientation, transient spinning or a sense of swaying or tilting. Vertigo may be caused by any number of conditions and is a symptom rather than a diagnosis. Once a diagnosis has been identified, treatment is focused on the specifics of the disease/disorder, relief of symptoms and promotion of recovery. The treatment also depends on whether the patient is suffering from acute or chronic symptoms. Acute vertigo will present as isolated spells and has a distinct beginning and end whereas chronic vertigo is continuous and/or recurring.
This policy does not certify benefits or authorization of benefits, which is designated by each individual policyholder contract. Paramount applies coding edits to all medical claims through coding logic software to evaluate the accuracy and adherence to accepted national standards. This guideline is solely for explaining correct procedure reporting and does not imply coverage and reimbursement.
Background. Vertigo can be described as a dizzy or spinning sensation. Some people perceive self-motion whereas others perceive motion of the environment. Individuals may experience vertigo as an illusion of motion, vague dizziness, imbalance, disorientation, transient spinning or a sense of swaying or tilting.
The individual's eyes are observed for spontaneous nystagmus as the individual is asked to look straight ahead, 30 degrees to 45 degrees to the right and 30 degrees to 45 degrees to the left. No electrodes are used and no recording made.
Aetna considers the use of brainstem auditory evoked potentials (BAEPs) experimental and investigational for evaluation of individuals with vertigo because the effectiveness of this approach has not been established .
Electronystagmography ( ENG) is used to assess patients with vestibular disorders (e.g., dizziness, vertigo, or balance dysfunction). It provides objective testing of the oculomotor and vestibular systems. In general, the traditional ENG consists of the following 3 components:
Zhu and colleagues (2015) noted that several studies have suggested that semicircular canal occlusion is safe and effective for treating intractable posterior semicircular BPPV (PSC-BPPV), and adverse effects of canal occlusions for intractable horizontal semicircular BPPV (HSC-BPPV) were rarely reported. In a retrospective study, these researchers examined the efficacy of semicircular canal occlusion for intractable HSC-BPPV with at least 2 years of follow-up. From 2000 to 2011, a total of 3 women (average age of 60 ± 6.9 years), with a diagnosis of HSC-BPPV refractory to head-shake and barbecue roll maneuver, underwent semicircular canal occlusion treatment in the authors’ hospital. The supine roll test was performed to diagnose HSC-BPPV and examine the treatment efficacy. All patients with intractable HSC-BPPV had completed resolution of their positional vertigo following semicircular canal occlusion with a negative supine roll test. All patients reported transient post-operative disequilibrium, nausea, and vomiting, which resolved within 2 weeks. Furthermore, 1 patient (33.3 %) had transient tinnitus, which resolved after 4 months. There were no other significant long-term complications. The authors concluded that semicircular canal occlusion appeared to be a safe and well-tolerated treatment modality for intractable HSC-BPPV; however, further studies with large sample sizes are needed to confirm these preliminary findings.
Aetna considers dynamic posturography (also known as balance board testing, computerized dynamic posturography [CDP], equilibrium platform testing [E PT], and moving platform posturography) experimental and investigation al for the diagnosis and staging of patients with Ménière's disease and other balance disorders, for the differential diagnosis of multiple sclerosis and disequilibrium, and all other indications because its clinical value has not been established.
Parsa et al (2019) noted that balance disorders are considered to be a serious clinical manifestation after stroke; thus, use of a quantitative method appears essential for evaluation of stroke patients' balance performance. A fundamental step would be the approval of the efficiency of the measurement instruments. These investigators examined correlations between balance assessment as examined by Biodex Stability System (BSS) and the clinical Berg Balance Scale (BBS) in post-stroke hemiparesis. A total of 25 stroke survivors and 25 healthy age-sex matched subjects were recruited. Participants were evaluated using BSS during 3 days, with a 24-hour interval. The high inter-class correlation coefficient (ICC) values showed that the system was reliable enough to continue the study. The clinical evaluation was performed by the standard BBS. There was a significant moderate negative correlation between the Biodex overall indices and BBS scores in the stroke groups (ravg = -0.68) and in the healthy cohort (ravg = -0.55). Furthermore, a significant moderate negative correlation was observed between the Biodex antero-posterior stability indices and BBS scores in the stroke groups (ravg = -0.67) and in healthy cohort (ravg = -0.55). The correlation between the Biodex mediolateral stability indices and BBS scores was moderate-to-low in the stroke and healthy groups (ravg = -0.67 and -0.39, respectively). The authors concluded that moderate negative correlation between the stability indices of the Biodex Stability System and BBS scores indicated that dynamic balance status of the participants partially reflected their functional balance status.