H81.4 Vertigo of central origin

Billable ICD-10-CM code, FY2026.

Applicable to

• Central positional nystagmus

Applies from H81 Disorders of vestibular function

Excludes1 (never code together)

• epidemic vertigo (A88.1)
• vertigo NOS (R42)

MS-DRG index

Defines the logic of DRG(s) 149 in MDC 03.

Code annotations containing back-references to H81.4

Back-references to H81

• Type 1 Excludes: R42 Dizziness and giddiness ("vertiginous syndromes (H81.-)")

Diagnosis Index entries for H81.4

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

Nearby codes

• H81.39 Other peripheral vertigo
• H81.391 Other peripheral vertigo, right ear
• H81.392 Other peripheral vertigo, left ear
• H81.393 Other peripheral vertigo, bilateral
• H81.399 Other peripheral vertigo, unspecified ear
• H81.4 Vertigo of central origin (this code)
• H81.8 Other disorders of vestibular function
• H81.8X Other disorders of vestibular function
• H81.8X1 Other disorders of vestibular function, right ear
• H81.8X2 Other disorders of vestibular function, left ear
• H81.8X3 Other disorders of vestibular function, bilateral