H81.11
H81.11 — Benign paroxysmal vertigo, right ear
Billable / specific codeICD-10-CMright
H81.11 is a billable, specific ICD-10-CM code for benign paroxysmal vertigo, right ear. It is valid for submission on a claim.
Risk adjustment
H81.11 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.
Medicare coverage
H81.11 is named in 15 Medicare coverage policies — 15 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share H81.1. If H81.11 is not quite right, the correct code is usually one of these.
Questions about H81.11
- Is H81.11 a billable ICD-10-CM code?
- Yes. H81.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H81.11 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Diseases of inner ear (H80-H83).