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H81.01 vs R42

H81.01 (Ménière's disease, right ear) compared with R42 (Dizziness and giddiness), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. H81.01 carries an Excludes1 note covering R42: “vertigo NOS (R42)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. R42 carries an Excludes1 note covering H81.01: “vertiginous syndromes (H81.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

H81.01Ménière's disease, right earR42Dizziness and giddiness
Billing statusBillableBillable
ClassificationH60-H95 — Diseases of the Ear and Mastoid Process (H60-H95)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionMénière's disease, right ear is a billable ICD-10-CM diagnosis code (H81.01).Dizziness and giddiness is a billable ICD-10-CM diagnosis code (R42).
Includes
Light-headedness
Vertigo NOS

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources