ICD-10 Coding for Conductive Hearing Loss(H90.0, H90.11)
Complete ICD-10-CM coding and documentation guide for Conductive Hearing Loss. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Conductive Hearing Loss
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H90.0 | Bilateral conductive hearing loss | Use when audiometric tests confirm bilateral conductive hearing loss. |
|
| H90.11 | Unilateral conductive hearing loss, right ear, with unrestricted hearing on the contralateral side | Use when audiometric tests confirm unilateral conductive hearing loss in the right ear. |
|
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 conductive hearing loss
Essential facts and insights about Conductive Hearing Loss
Primary ICD-10-CM Codes for conductive hearing loss
Decision Criteria
clinical Criteria
- Bilateral air-bone gap on audiogram
coding Criteria
- No sensorineural component present
Applicable To
- Bilateral air-bone gap
Excludes
- Sensorineural hearing loss
Clinical Validation Requirements
- Audiogram showing bilateral air-bone gap ≥15 dB
- Tympanometry indicating conductive pathology
Code-Specific Risks
- Misclassification if sensorineural component is present
Coding Notes
- Ensure audiometric confirmation of conductive loss before coding.
H90.11 - Unilateral conductive hearing loss, right ear, with unrestricted hearing on the contralateral side
Use when audiometric tests confirm unilateral conductive hearing loss in the right ear.
Applicable To
- Right ear conductive hearing loss
Excludes
- Mixed hearing loss
Clinical Validation Requirements
- Audiogram showing right ear air-bone gap
- Normal hearing in left ear
Coding Notes
Ensure correct laterality is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Conductive Hearing Loss to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H90.0.
Impact
Clinical: Inaccurate diagnosis and treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Always document underlying cause if known, Use specific codes for etiology
Impact
Reimbursement: Potential for reduced reimbursement due to lack of specificity, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in health records
Mitigation Strategy
Always specify laterality when documentation supports it.
Impact
Incorrect laterality coding can lead to audit findings.
Mitigation Strategy
Verify laterality in clinical documentation before coding.
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 Conductive Hearing Loss, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Conductive Hearing Loss
Use these documentation templates to ensure complete and accurate documentation for Conductive Hearing Loss. These templates include all required elements for proper coding and billing.
Unilateral conductive hearing loss due to otosclerosis
Specialty: OtolaryngologyRequired Elements
- Patient history
- Audiogram results
- Tympanometry findings
- CT scan results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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