ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H81.01

Billable / Specific

Meniere's disease, right ear

H81
Block
0
Synonyms
101
LCDs
11
Payer Policies
18
Linked CPTs

About ICD-10-CM H81.01

ICD-10-CM code H81.01 represents Meniere's disease, right ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H81). The 2026 edition of ICD-10-CM H81.01 became effective on October 1, 2025.

Medicare LCD Coverage for H81.01

Local Coverage Determinations (LCDs) from CMS MACs that list H81.01 as a covered diagnosis.

101 LCDs

Showing top 10 of 101 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92538 →
CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92518 →
CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92519 →
CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92548 →
CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92542 →
CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92537 →
CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92553 →
CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92545 →
CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92541 →
CMS LCD: Billing and Coding: Vestibular Function Testing
Article ID: 56497, Effective: 2021-01-01 00:00:00, 57 covered, 0 non-covered
CPT 92540 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H81.01.

11 policies

5 Aetna

Aural Rehabilitation - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0034
Cardiovascular Disease Risk Tests
Policy ID: CPB-0381
Tinnitus Treatments
Policy ID: CPB-0406
Meniere's Disease and Related Disorders: Surgery
Policy ID: CPB-0514
Electrocochleogram and Perilymphatic Pressure Measurement
Policy ID: CPB-0564

5 Medicare

Billing and Coding: Vestibular Function Testing
Policy ID: ART-56497
Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Policy ID: ART-56773
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Vestibular and Audiologic Function Studies
Policy ID: ART-57434
Billing and Coding: Non-Invasive Cerebrovascular Studies
Policy ID: ART-57592

CPT Codes Commonly Billed with H81.01

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

18 linkages
  • 92549 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD
  • 92548 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD
  • 92541 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD
  • 92537 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD
  • 92557 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD
  • 92546 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD
  • 92556 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD
  • 92540 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD
  • 92542 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD
  • 92547 CMS LCD: Billing and Coding: Vestibular Function Testing CMS LCD

Convert H81.01 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H81.01 38600 10000
H81.01 38601 10000
H81.01 38602 10000
H81.01 38603 10000
H81.01 38604 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H81.01, Billing FAQ

Is ICD-10 code H81.01 billable? +

Yes, H81.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with H81.01? +

Procedures frequently paired with H81.01 include: 92549, 92548, 92541, 92537, 92557.

What ICD-9 codes does H81.01 map to? +

Per CMS GEMs, H81.01 maps to ICD-9 codes: 38600, 38601, 38602, 38603, 38604. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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