Is H81.1 a billable ICD-10-CM code?

No. H81.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H81.1 sit in the tabular list?

Diseases of the ear and mastoid process (H60-H95), in the block Diseases of inner ear (H80-H83).

What cannot be coded together with H81.1?

H81.1 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H81.1 (H81) and apply to it just the same.

H81.1

H81.1 — Benign paroxysmal vertigo

Non-billable headerICD-10-CM

H81.1 is a non-billable header ICD-10-CM code for benign paroxysmal vertigo. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above H81.1

These are not written on H81.1, but they bind it: a note on a category applies to every code beneath it. Billing H81.1 with anything listed here is a denial.

Written on H81 — Disorders of vestibular function

epidemic vertigo (A88.1)
vertigo NOS (R42)

Other codes that can never be billed with H81.1

These codes carry an Excludes1 note pointing at H81.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H81.1 alone.

R42Dizziness and giddiness

Risk adjustment

H81.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

H81.1 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead H81.1

4 child codes. Green means billable.

Related codes at this level

Codes that share H81. If H81.1 is not quite right, the correct code is usually one of these.

Questions about H81.1

Is H81.1 a billable ICD-10-CM code?: No. H81.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H81.1 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Diseases of inner ear (H80-H83).
What cannot be coded together with H81.1?: H81.1 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H81.1 (H81) and apply to it just the same.