H81.4 — Vertigo of central origin
Is H81.4 billable?
Yes — H81.4 is billable for FY2027. H81.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H81.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H81.4 at a glance
| Code | H81.4 |
|---|---|
| Description | Vertigo of central origin |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H81.4 group to?
H81.4 sits in MDC 03 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 149Dysequilibriummedical
How is H81.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H81.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Nystagmus › central positional
- Vertigo › central
- Vertigo › cerebral
- Vertigo › malignant positional
- Nystagmus › positional › benign paroxysmal
- Nystagmus › positional › central
- Vertigo › positional › malignant
Inclusion terms
Alternative wording in documentation that is classified to H81.4.
- Central positional nystagmus
Excludes1 — never code together — inherited from H81
The conditions below can never be reported together with H81.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 8
The conditions below are not part of H81.4, but a patient may have both at the same time. When documentation supports it, H81.4 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
How long has H81.4 existed?
H81.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2021: H81.4 became billable
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.