H81.4 Vertigo of central origin

The ICD-10-CM code for Vertigo of central origin is H81.4 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

8: Diseases of the ear and mastoid process (H60-H95)

Section

H80-H83: Diseases of inner ear (H80-H83)

Category H81

39 codes (29 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to H81.4:

• Vertigo › malignant positional
• Vertigo › central (origin)
• Nystagmus › central positional
• Vertigo › cerebral
• Nystagmus › positional › benign paroxysmal
• Vertigo › positional › malignant
• Nystagmus › positional › central

Inclusion Terms

• Central positional nystagmus

U.S. Hospital Utilization

• An estimated 1,465 U.S. inpatient stays in 2023 included H81.4 among the documented diagnoses.
• 330 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Chapter 8 reserved for future guideline expansion

8. Chapter 8: Diseases of the Ear and Mastoid Process (H60-H95) Reserved for future guideline expansion

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)