H81.4
H81.4: Vertigo of central origin
Billable / specific codeICD-10-CM
H81.4 is a billable, specific ICD-10-CM code for vertigo of central origin. It is valid for submission on a claim.
Check H81.4 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Central positional nystagmus
Other codes that can never be billed with H81.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R42Dizziness and giddiness
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H81.4 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56497Billing and Coding: Vestibular Function Testing
- A56747Billing and Coding: Magnetic Resonance Angiography (MRA)
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
- A56805Billing and Coding: Magnetic Resonance Angiography (MRA)
Alphabetic index entries that lead here
- Nystagmus›central positional
- Vertigo›central(origin)
- Vertigo›cerebral
- Vertigo›malignant positional
- Nystagmus›positional›benign paroxysmal
- Nystagmus›positional›central
- Vertigo›positional›malignant
Code history
Unchanged in every release from FY2024 to FY2027.