Meniere's disease, bilateral

This code signifies Meniere's disease affecting both ears. It is a chronic inner ear disorder characterized by episodes of vertigo, tinnitus, fluctuating hearing loss, and aural fullness. The bilateral involvement indicates that the condition manifests in both the left and right auditory and vestibular systems.

Use this code when documentation clearly indicates a diagnosis of Meniere's disease affecting both the left and right ears. This typically follows a comprehensive otologic evaluation, including audiometry and vestibular testing, confirming bilateral involvement. Supporting documentation should specify the laterality as "bilateral" or "both ears."

• Ensure the provider's documentation explicitly states "bilateral" Meniere's disease; avoid assuming laterality.
• Distinguish from unilateral Meniere's disease (H81.01- or H81.02-) which specifies left or right ear involvement.
• Code any associated symptoms, such as vertigo (R42) or tinnitus (H93.1-), as secondary diagnoses if documented and clinically relevant.