ICD-10 Coding for Auditory Conditions(H90.3, H91.0X3, H93.293)
Complete ICD-10-CM coding and documentation guide for Auditory Conditions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Auditory Conditions
H90-H94Primary Range
Diseases of the ear and mastoid process
This range includes codes for various auditory conditions, including hearing loss and auditory processing disorders.
Poisoning by drugs, medicaments and biological substances
This range is relevant for coding ototoxicity due to adverse effects of medications.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H90.3 | Sensorineural hearing loss, bilateral | Use when audiometry confirms bilateral sensorineural hearing loss. |
|
| H91.0X3 | Ototoxic hearing loss, bilateral | Use when hearing loss is confirmed to be due to ototoxic drugs. |
|
| H93.293 | Abnormal auditory perception, bilateral | Use when there is documented abnormal auditory perception without hearing loss. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for bilateral sensorineural hearing loss
Essential facts and insights about Auditory Conditions
Primary ICD-10-CM Codes for auditory
Decision Criteria
clinical Criteria
- Audiometric confirmation of bilateral sensorineural hearing loss
Clinical Validation Requirements
- Audiogram showing ≥40 dB HL bone-conduction thresholds at 2+ frequencies
Code-Specific Risks
- Ensure laterality is documented; bilateral must be specified.
Coding Notes
- Ensure audiometric evidence is documented in the patient's record.
H91.0X3 - Ototoxic hearing loss, bilateral
Use when hearing loss is confirmed to be due to ototoxic drugs.
Applicable To
- Hearing loss due to ototoxic drugs
Excludes
- Hearing loss due to noise (H83.3)
Clinical Validation Requirements
- Documentation of ototoxic drug exposure
- Audiometric confirmation of hearing loss
Coding Notes
Document the specific ototoxic agent and confirm hearing loss with audiometry.
H93.293 - Abnormal auditory perception, bilateral
Use when there is documented abnormal auditory perception without hearing loss.
Applicable To
- Auditory processing disorder
Excludes
- Hearing loss (H90-H91)
Clinical Validation Requirements
- Normal pure-tone thresholds
- Speech-in-noise deficits documented
Coding Notes
Document specific auditory processing deficits and confirm with appropriate tests.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Adverse effect of antineoplastics
T45.1X5ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Auditory Conditions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H90.3.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim denials or delays.
Mitigation Strategy
Always review audiogram reports for laterality., Train staff on the importance of documenting laterality.
Impact
Reimbursement: Claims may be denied or delayed due to incomplete coding., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Always document and code the laterality of hearing loss (left, right, bilateral).
Impact
Reimbursement: Claims may be denied for lack of specificity., Compliance: Non-compliance with coding rules requiring etiology documentation., Data Quality: Incomplete data on drug-induced conditions.
Mitigation Strategy
Include the specific drug causing ototoxicity in the documentation.
Impact
Failure to document the causative agent and audiometric confirmation.
Mitigation Strategy
Implement a checklist for ototoxicity documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Auditory Conditions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Auditory Conditions
Use these documentation templates to ensure complete and accurate documentation for Auditory Conditions. These templates include all required elements for proper coding and billing.
Central Auditory Processing Disorder Evaluation
Specialty: AudiologyRequired Elements
- Patient history
- Audiometric test results
- Speech-in-noise test scores
- Diagnosis and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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