H81.12 — Benign paroxysmal vertigo, left ear
H81.12 is a billable, specific ICD-10-CM code for benign paroxysmal vertigo, left ear. It is valid for submission on a claim.
Excludes1 inherited from the categories above H81.12
These are not written on H81.12, but they bind it: a note on a category applies to every code beneath it. Billing H81.12 with anything listed here is a denial.
Other codes that can never be billed with H81.12
These codes carry an Excludes1 note pointing at H81.12. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H81.12 alone.
- R42Dizziness and giddiness
Risk adjustment
H81.12 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
H81.12 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
Code history
H81.12 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share H81.1. If H81.12 is not quite right, the correct code is usually one of these.
Questions about H81.12
- Is H81.12 a billable ICD-10-CM code?
- Yes. H81.12 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H81.12 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 H81.12?
- H81.12 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 H81.12 (H81) and apply to it just the same.