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

ICD-10 H81.4

Billable / Specific

Vertigo of central origin

H81
Block
1
Synonyms
162
LCDs
10
Payer Policies
18
Linked CPTs

About ICD-10-CM H81.4

ICD-10-CM code H81.4 represents Vertigo of central origin. This is a billable/specific code in the Ear and Mastoid Process chapter (block H81). The 2026 edition of ICD-10-CM H81.4 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under H81.4. Per CMS ICD-10-CM Tabular 2026.

  • Central positional nystagmus

Medicare LCD Coverage for H81.4

Local Coverage Determinations (LCDs) from CMS MACs that list H81.4 as a covered diagnosis.

162 LCDs

Showing top 10 of 162 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Vestibular Function Tests
Article ID: 57118, Effective: , 46 covered, 1 non-covered
CPT 92538 →
CMS LCD: Billing and Coding: Vestibular Function Tests
Article ID: 57118, Effective: , 46 covered, 1 non-covered
CPT 92542 →
CMS LCD: Billing and Coding: Vestibular Function Tests
Article ID: 57118, Effective: , 46 covered, 1 non-covered
CPT 92537 →
CMS LCD: Billing and Coding: Vestibular Function Tests
Article ID: 57118, Effective: , 46 covered, 1 non-covered
CPT 92545 →
CMS LCD: Billing and Coding: Vestibular Function Tests
Article ID: 57118, Effective: , 46 covered, 1 non-covered
CPT 92541 →
CMS LCD: Billing and Coding: Vestibular Function Tests
Article ID: 57118, Effective: , 46 covered, 1 non-covered
CPT 92540 →
CMS LCD: Billing and Coding: Vestibular Function Tests
Article ID: 57118, Effective: , 46 covered, 1 non-covered
CPT 92544 →
CMS LCD: Billing and Coding: Vestibular Function Tests
Article ID: 57118, Effective: , 46 covered, 1 non-covered
CPT 92547 →
CMS LCD: Billing and Coding: Vestibular Function Tests
Article ID: 57118, Effective: , 46 covered, 1 non-covered
CPT 92546 →
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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H81.4.

10 policies

1 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542

5 Medicare

Billing and Coding: Vestibular Function Testing
Policy ID: ART-56497
Billing and Coding: Magnetic Resonance Angiography (MRA)
Policy ID: ART-56747
Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Policy ID: ART-56773
Billing and Coding: Magnetic Resonance Angiography (MRA)
Policy ID: ART-56805
Billing and Coding: Vestibular Function Tests
Policy ID: ART-57118

1 Aetna

Cardiovascular Disease Risk Tests
Policy ID: CPB-0381

CPT Codes Commonly Billed with H81.4

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

ICD-10 H81.4, Billing FAQ

Is ICD-10 code H81.4 billable? +

Yes, H81.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to H81.4? +

ICD-10 H81.4 includes: Central positional nystagmus.

What CPT codes are commonly billed with H81.4? +

Procedures frequently paired with H81.4 include: 92549, 92548, 92541, 92537, 92557.

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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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