Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness ICD-10-CM
The quality measure Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness can apply to an encounter when one of 5 linked ICD-10-CM diagnosis codes appears on the claim. CMS designates it a high-priority measure, which MIPS scoring rewards. The full linked-code list is below, with billable status and each code's place in the tabular index.
About This Measure
Percentage of patients aged birth and older referred to a physician (preferably a physician specially trained in disorders of the ear) for an otologic evaluation subsequent to an audiologic evaluation after presenting with acute or chronic dizziness.
Submission methods
Linked ICD-10-CM Codes 5 codes · 5 billable
| Code | Description | Category |
|---|---|---|
| H81.10 | Benign paroxysmal vertigo, unspecified ear | Disorders of vestibular function (H81) |
| H81.11 | Benign paroxysmal vertigo, right ear | Disorders of vestibular function (H81) |
| H81.12 | Benign paroxysmal vertigo, left ear | Disorders of vestibular function (H81) |
| H81.13 | Benign paroxysmal vertigo, bilateral | Disorders of vestibular function (H81) |
| R42 | Dizziness and giddiness | Dizziness and giddiness (R42) |
Related References
Source: Centers for Medicare & Medicaid Services, Quality Payment Program measure specifications, with linked codes validated against the official FY 2026 ICD-10-CM code set.
