ICD-10 and CPT Codes to Report Vertigo and its Treatments

ICD-10 and CPT Codes to Report Vertigo and its Treatments Otolaryngologists and neurologists can rely on medical coding companies to ensure accurate medical claim submission.

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Otolaryngologists and neurologists can rely on medical coding companies to ensure accurate medical claim submission.

Vertigo is caused by issues related to the inner ear balance. The condition can also be triggered by certain head movements or benign paroxysmal positional vertigo (BPPV), migraines, inner ear infection (labyrinthitis) or inflammation of the vestibular nerve (vestibular neuronitis).

Common symptoms include vomiting, headache, sweating, spinning, swaying, tilting or the feeling of being pulled to one direction. Most otolaryngologists and neurologists rely on outsourced medical coding services to ensure accurate coding for vertigo and related conditions.

Diagnosis for this condition include hearing tests done by an ENT specialist such as audiometry test, tuning fork test, videonystagmography, caloric testing, dynamic or static platform posturography, and CT or MRI scan of head. Treatments recommended to treat vertigo symptoms include Epley maneuver, and vestibular rehabilitation training (VRT) and certain medications such as prochlorperazine and certain antihistamines.

ICD-10 Codes to Report Vertigo Diagnosis • • • • • • • • • • • •

A88.1 Epidemic vertigo H81.10 Benign paroxysmal vertigo unspecified ear H81.11 Benign paroxysmal vertigo right ear H81.12 Benign paroxysmal vertigo left ear H81.13 Benign paroxysmal vertigo bilateral H81.20 Vestibular neuritis unspecified ear H81.21 Vestibular neuronitis right ear H81.22 Vestibular neuronitis left ear H81.23 Vestibular neuritis bilateral H81.31 Aural vertigo H81.4 Vertigo of central origin H81.8 Other disorders of vestibular function

• R42 Dizziness and giddiness

• T75.23XA Vertigo from infrasound initial encounter • T75.23XD Vertigo from infrasound subsequent encounter • T75.23XS Vertigo from infrasound sequela

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Z01.1 Encounter for examination of ears and hearing Z01.10 …… without abnormal findings Z01.11 Encounter for examination of ears and hearing with abnormal findings Z01.12 Encounter for hearing conservation and treatment R94.12 Abnormal results of function studies of ear and other special senses

CPT Codes to Report Vertigo Treatment • 92517 Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) • 92518 Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) • 92519 Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) • 92537 Caloric vestibular test with recording, bilateral; bithermal (i.e., one warm and one cool irrigation in each ear for a total of four irrigations) • 92538 Caloric vestibular test with recording, bilateral; monothermal (i.e., one irrigation in each ear for a total of two irrigations) • 92541 Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording • 92542 Positional nystagmus test, minimum of 4 positions, with recording • 92544 Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording • 92545 Oscillating tracking test, with recording • 92546 Sinusoidal vertical axis rotational testing • 92547 Use of vertical electrodes (list separately in addition to code for primary procedure) • 92552 Pure tone audiometry (threshold); air only • 92553 Pure tone audiometry (threshold); air and bone • 92556 Speech audiometry threshold; with speech recognition • 92557 Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) For correct reimbursement, it is important to report diagnosis and procedures done using the right codes. Professional medical coding services can ensure accurate coding and prevent claim denials.

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