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ICD-10-CM Diagnosis Code H81.392: Other Peripheral Vertigo, Left Ear
ICD-10-CM code H81.392 represents other peripheral vertigo in the left ear, classifying it as a disease or syndrome. Peripheral vertigo involves balance issues originating in the inner ear. This active code is listed alongside bilateral and unspecified ear variants in a Medicare billing article. 1 3 4
Plain-language overview
Vertigo is a sensation of motion or spinning that differs from lightheadedness, and peripheral vertigo specifically arises from a problem in the part of the inner ear that controls balance. 3
What this code represents
The diagnosis code H81.392 is an active terminology concept representing other peripheral vertigo in the left ear, and its semantic type is classified as a disease or syndrome. 1
Coding details
Within the ICD-10-CM hierarchy, H81.392 is a narrower concept under the parent code H81.39, which designates other peripheral vertigo, and the code is active for the 2026 version. 1
A Medicare billing and coding article lists code H81.392 for other peripheral vertigo in the left ear alongside H81.393 for bilateral involvement and H81.399 for an unspecified ear. 4
Clinical context
Clinicians distinguish peripheral vertigo causes, such as vestibular neuritis and benign paroxysmal positional vertigo, from central causes by conducting a thorough neurological history and examination. 2
Documentation considerations
Clinicians identify essential systemic and neurological examination findings that differentiate central vertigo from peripheral vertigo, enhancing diagnostic accuracy during the patient evaluation. 2
Coverage and utilization context
The code H81.392 appears in a Medicare billing and coding article concerning vestibular and audiologic function studies, which lists the diagnosis code alongside bilateral and unspecified ear variants. 4
What the sources add
While terminology records establish the official code definition and hierarchy, clinical references add context by explaining that peripheral vertigo originates from inner ear balance dysfunction. 1 3
A Medicare billing article lists H81.392 alongside bilateral and unspecified ear variants, while the terminology record specifies that H81.392 is an active concept with a parent code of H81.39. 1 4
Sources
- ICD-10-CM H81.392 terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
- Bookshelf — ncbi.nlm.nih.gov; accessed 2026-07-27.
- Vertigo-associated disorders: MedlinePlus Medical Encyclopedia — medlineplus.gov; accessed 2026-07-27.
- Article - Billing and Coding: Vestibular and Audiologic Function Studies (A57434) — cms.gov; accessed 2026-07-27.
- EVS Explore — evsexplore.semantics.cancer.gov; accessed 2026-07-27.
- H81.392 - Other peripheral vertigo, left ear | ICD-10-CM — unboundmedicine.com; accessed 2026-07-27.
H81.392 policy automation walkthrough
Walk through the policies, prior authorization requirements, and workflow automation opportunities connected to this code.