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Other peripheral vertigo, bilateral
ICD10CM code
#### Name of the Condition
- Other Peripheral Vertigo, Bilateral (ICD Code: H81.393)
#### Summary
- Peripheral vertigo refers to a sensation of spinning or dizziness caused by problems in the inner ear or vestibular nerve. Specifically, this condition affects both ears, leading to more pronounced balance issues.
#### Causes
- The condition may arise from infections (e.g., vestibular neuritis), Meniere's disease, trauma, or other vestibular disorders. Sometimes the exact cause remains unknown.
#### Risk Factors
- Age (more common in older adults), family history of vertiginous disorders, prior ear infections, or head injuries can increase the risk of developing bilateral peripheral vertigo.
#### Symptoms
- Symptoms include dizziness, a sensation of spinning, imbalance, nausea, and at times, hearing changes since both ears are impacted.
#### Diagnosis
- Diagnosis involves a clinical examination, including the Dix-Hallpike test, and audiometry. Imaging studies, like MRI, may be used to rule out other causes.
#### Treatment Options
- Treatments range from medications like vestibular suppressants and anti-emetics to vestibular rehabilitation therapy (VRT). In certain cases, treatment may focus on the underlying cause.
#### Prognosis and Follow-Up
- With appropriate management, many people experience symptom relief, although some may have chronic balance disturbances. Regular follow-ups help adjust therapies for optimal management.
#### Complications
- Untreated bilateral vertigo can lead to falls and injuries due to imbalance. Chronic dizziness may also impact the quality of life.
#### Lifestyle & Prevention
- Maintaining a healthy lifestyle with regular exercises, particularly balance-focused activities, can help manage and possibly prevent episodes. Avoiding alcohol and staying hydrated are also beneficial.
#### When to Seek Professional Help
- Seek immediate medical attention if experiences of vertigo are sudden, accompanied by severe headache, double vision, or difficulty speaking.
#### Additional Resources
- Vestibular Disorders Association (VeDA): [vestibular.org](https://www.vestibular.org)
- American Balance Society: [americanbalance.com](https://www.americanbalance.com)
#### Tips for Medical Coders
- Ensure accurate documentation of bilateral involvement to use ICD Code H81.393. Avoid confusion with unilateral vertigo by confirming bilateral symptoms in patient records.