We investigate vortex excitations in dilute Bose-Einstein condensates in the presence of complex $mathcal{PT}$-symmetric potentials. These complex potentials are used to describe a balanced gain and loss of particles and allow for an easier calculation of stationary states in open systems than in a full dynamical calculation including the whole environment. We examine the conditions under which stationary vortex states can exist and consider transitions from vortex to non-vortex states. In addition, we study the influences of $mathcal{PT}$ symmetry on the dynamics of non-stationary vortex states placed at off-center positions.