ICD-10 Code H81.4 – Vertigo of central origin (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H81.4 – Vertigo of central origin
What it is
H81.4 identifies vertigo caused by a central nervous system disorder rather than an inner ear problem. Use it when documentation states central origin or points to a brain or neurologic cause.
Clinical signs
Clinical features vary; refer to documentation. Central vertigo may occur with neurologic findings such as gait instability, abnormal eye movements, or other focal signs that suggest a central lesion.
When to use this code
Use H81.4 when the provider documents vertigo of central origin, central vertigo, or a central neurologic cause of dizziness. It may also apply when workup identifies a brainstem, cerebellar, or other central process as the source. If the record only says dizziness, check documentation.
Do not use for
Do not use this code for peripheral vertigo, benign paroxysmal positional vertigo, or nonspecific dizziness without a central cause. Check documentation if the source of vertigo is unclear.
Coding tip
Code H81.4 only when the chart supports a central origin; otherwise query for clarification before assigning a vertigo code.