ICD-10-CM Code H81.4

Vertigo of central origin

Version 2021 Billable Code

Valid for Submission

H81.4 is a billable code used to specify a medical diagnosis of vertigo of central origin. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code H81.4 might also be used to specify conditions or terms like body positional nystagmus, brain stem vertigo, central positional nystagmus, central positional vertigo, cerebellar vertigo, cortical vertigo, etc

Short Description:Vertigo of central origin
Long Description:Vertigo of central origin

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H81.4:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Central positional nystagmus

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H81.4 are found in the index:


The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Body positional nystagmus
  • Brain stem vertigo
  • Central positional nystagmus
  • Central positional vertigo
  • Cerebellar vertigo
  • Cortical vertigo
  • Downbeat nystagmus
  • Fatigable positional nystagmus
  • Malignant positional vertigo
  • Neck positional nystagmus
  • Non-fatigable positional nystagmus
  • Positional nystagmus
  • Vertical nystagmus
  • Vertigo as late effect of stroke
  • Vertigo as sequela of cerebrovascular disease
  • Vertigo due to brain injury
  • Vertigo of central origin

Replacement Code

H814 replaces the following previously assigned ICD-10 code(s):

  • H81.41 - Vertigo of central origin, right ear
  • H81.42 - Vertigo of central origin, left ear
  • H81.43 - Vertigo of central origin, bilateral
  • H81.49 - Vertigo of central origin, unspecified ear

Code Classification

  • Diseases of the ear and mastoid process (H60–H95)
    • Diseases of inner ear (H80-H83)
      • Disorders of vestibular function (H81)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients

Dizziness and Vertigo

When you're dizzy, you may feel lightheaded, woozy, or disoriented. If you feel like you or the room are spinning, you have vertigo. These feelings may make you lose your balance.

Dizziness can have many different causes. A sudden drop in blood pressure or being dehydrated can make you dizzy. Many people feel lightheaded if they get up too quickly from sitting or lying down. Certain medicines and problems with your inner ear may cause dizziness. So can motion sickness. Sometimes dizziness can be a symptom of other disorders.

As people get older, they may have more health problems and take more medicines. This makes them more likely to have problems with dizziness and balance.

Dizziness usually gets better by itself or is easily treated. If you are dizzy often, you should see your health care provider to find the cause.

NIH: National Institutes of Health

  • Benign positional vertigo (Medical Encyclopedia)
  • Benign positional vertigo -- aftercare (Medical Encyclopedia)
  • Dizziness (Medical Encyclopedia)
  • Dizziness and vertigo -- aftercare (Medical Encyclopedia)
  • Electronystagmography (Medical Encyclopedia)
  • Epley maneuver (Medical Encyclopedia)
  • Labyrinthitis (Medical Encyclopedia)
  • Vertigo-associated disorders (Medical Encyclopedia)

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