Find information on Peripheral Vertigo diagnosis, including clinical documentation, medical coding, and healthcare resources. Learn about ICD-10 codes for Peripheral Vertigo, differential diagnosis, vestibular neuritis, benign paroxysmal positional vertigo (BPPV), labyrinthitis, Meniere's disease, and other related vestibular disorders. Explore resources for healthcare professionals on accurate coding and documentation of Peripheral Vertigo symptoms and treatment.
Also known as
Benign paroxysmal positional vertigo
Brief episodes of vertigo triggered by head movements.
Vestibular neuronitis
Sudden onset of vertigo, often with nausea and vomiting.
Other peripheral vertigo
Vertigo originating from the inner ear or vestibular nerve.
Other specified hearing loss
May include peripheral vertigo associated with hearing issues.
When to use each related code
| Description |
|---|
| Spinning sensation from inner ear issue |
| Benign Paroxysmal Positional Vertigo |
| Vestibular Neuritis |
Q: How can I differentiate between peripheral vertigo and central vertigo in my clinical practice using the HINTS exam and other bedside diagnostic tools?
A: Differentiating peripheral from central vertigo is crucial for appropriate management. The HINTS exam (Head-Impulse, Nystagmus, Test of Skew) is a valuable bedside tool. In peripheral vertigo, the head-impulse test is positive (corrective saccade present), nystagmus is unidirectional and horizontal, and there is no skew deviation. Conversely, central vertigo often presents with a negative head-impulse test, vertical or direction-changing nystagmus, and skew deviation. Other bedside tests include evaluating for hearing loss (common in peripheral) and assessing for other neurological deficits (more suggestive of central). Consider implementing the HINTS exam into your routine neurological assessment. Explore how combining the HINTS exam with a thorough patient history and other physical exam findings can improve diagnostic accuracy for vertigo. For complex cases, neuroimaging may be necessary.
Q: What are the most effective evidence-based treatment options for BPPV, the most common cause of peripheral vertigo, and how do I choose the right maneuver for my patient?
A: Benign paroxysmal positional vertigo (BPPV) is most effectively treated with canalith repositioning maneuvers. The Epley maneuver is commonly used for posterior canal BPPV, while the Semont or Lempert maneuvers are employed for horizontal canal BPPV. Choosing the correct maneuver depends on the affected canal, determined by positional testing like the Dix-Hallpike maneuver. Accurate diagnosis is crucial for successful treatment. Learn more about identifying the affected canal and performing these maneuvers correctly to maximize patient outcomes. Consider implementing a standardized protocol for BPPV diagnosis and treatment in your clinic. Explore how patient education on post-maneuver instructions can improve adherence and reduce recurrence.
Patient presents with complaints consistent with peripheral vertigo, characterized by a spinning sensation or dizziness. Onset, duration, and frequency of vertigo episodes were documented, including any associated symptoms such as nausea, vomiting, tinnitus, hearing loss, and aural fullness. The patient's medical history was reviewed for relevant conditions including Meniere's disease, benign paroxysmal positional vertigo (BPPV), vestibular neuritis, labyrinthitis, and acoustic neuroma. Physical examination included a neurological assessment, Dix-Hallpike maneuver if BPPV was suspected, and evaluation of cranial nerves, balance, and gait. Nystagmus direction and characteristics were noted if present. Differential diagnosis considered central vertigo, migraine-associated vertigo, and medication-induced dizziness. Assessment points towards a diagnosis of peripheral vertigo, likely due to [Specific suspected cause, e.g., BPPV]. Plan includes [Specific treatment plan, e.g., Epley maneuver for BPPV, vestibular rehabilitation therapy, medication management for Meniere's disease]. Patient education provided on symptom management and potential triggers. Follow-up scheduled to assess treatment efficacy and adjust management as needed. ICD-10 code [Appropriate ICD-10 code, e.g., H81.1 for Benign paroxysmal vertigo] assigned. CPT codes for diagnostic and therapeutic procedures documented as applicable, for example, 92541-92548 for vestibular function testing or 95992 for Canalith Repositioning Procedure.