ICD-10 Coding for Evoked Otoacoustic Emissions(H91.23, H93.25)
Complete ICD-10-CM coding and documentation guide for Evoked Otoacoustic Emissions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Evoked Otoacoustic Emissions
H90-H94Primary Range
Other disorders of ear
This range includes codes related to hearing loss and auditory disorders, which are relevant for documenting conditions associated with evoked otoacoustic emissions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H91.23 | Auditory neuropathy | Use when auditory neuropathy is diagnosed, characterized by normal otoacoustic emissions but abnormal auditory brainstem response. |
|
| H93.25 | Cochlear conductive hearing loss | Use when cochlear conductive hearing loss is diagnosed, characterized by absent otoacoustic emissions at specific frequencies. |
|
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 evoked otoacoustic emissions
Essential facts and insights about Evoked Otoacoustic Emissions
Primary ICD-10-CM Codes for evoked otoacoustic emissions
Decision Criteria
clinical Criteria
- Presence of otoacoustic emissions with abnormal ABR
Applicable To
- Auditory dyssynchrony
Excludes
- Sensorineural hearing loss (H90.3)
Clinical Validation Requirements
- Presence of otoacoustic emissions with abnormal auditory brainstem response
Code-Specific Risks
- Misclassification with sensorineural hearing loss
Coding Notes
- Ensure documentation supports the presence of otoacoustic emissions with abnormal ABR.
H93.25 - Cochlear conductive hearing loss
Use when cochlear conductive hearing loss is diagnosed, characterized by absent otoacoustic emissions at specific frequencies.
Applicable To
- Cochlear dead regions
Excludes
- Conductive hearing loss due to middle ear disorder (H90.0)
Clinical Validation Requirements
- Absent otoacoustic emissions at specific frequencies with normal tympanometry
Coding Notes
Documentation should include specific frequencies tested and results.
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 Evoked Otoacoustic Emissions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H91.23.
Impact
Clinical: Lacks specificity needed for clinical decision-making., Regulatory: Fails to meet documentation standards., Financial: May lead to claim denials.
Mitigation Strategy
Use detailed frequency-specific results, Provide interpretation of findings
Impact
Reimbursement: Claims may be denied if screening codes are used incorrectly., Compliance: Incorrect coding can lead to compliance issues during audits., Data Quality: Misclassification affects data accuracy and patient records.
Mitigation Strategy
Use diagnostic codes such as 92587 or 92588 for detailed evaluations.
Impact
Frequent use of screening codes for diagnostic purposes can trigger audits.
Mitigation Strategy
Ensure proper use of diagnostic codes with supporting 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 Evoked Otoacoustic Emissions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Evoked Otoacoustic Emissions
Use these documentation templates to ensure complete and accurate documentation for Evoked Otoacoustic Emissions. These templates include all required elements for proper coding and billing.
Diagnostic Evaluation for Hearing Loss
Specialty: AudiologyRequired Elements
- Test Type
- Stimulus Parameters
- Frequency Map
- Noise Floor
- Analysis
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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