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ICD-10 Coding for Failed Hearing Screen(Z01.110)

Complete ICD-10-CM coding and documentation guide for Failed Hearing Screen. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Hearing Screening FailureFailed Audiometry

Related ICD-10 Code Ranges

Complete code families applicable to Failed Hearing Screen

Z01.10-Z01.11Primary Range

Encounter for examination of ears and hearing

This range includes codes for follow-up examinations after failed hearing screenings and general ear exams.

Hearing loss and other disorders of the ear

These codes are used to specify the type of hearing loss or ear disorder identified during follow-up.

Key Information: ICD-10 code for failed hearing screen

Essential facts and insights about Failed Hearing Screen

The ICD-10 code for a follow-up after a failed hearing screening is Z01.110. It is used when a patient is seen for evaluation following a failed hearing screen.

Primary ICD-10-CM Code for failed hearing screen

Encounter for hearing examination following failed hearing screening
Billable Code

Decision Criteria

clinical Criteria

  • Patient has documented failed hearing screening results.

documentation Criteria

  • Referral source and screening details are documented.

Applicable To

  • Follow-up after failed hearing screening

Excludes

  • Routine hearing examination without prior failed screening

Clinical Validation Requirements

  • Documented failed hearing screening results
  • Referral source for follow-up

Code-Specific Risks

  • Incorrectly using for routine exams without prior failed screening

Coding Notes

  • Ensure documentation specifies the failed screening and follow-up context.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Bilateral sensorineural hearing loss

H90.3
Use when bilateral sensorineural hearing loss is confirmed during follow-up.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Encounter for examination of ears and hearing without abnormal findings

Z01.10
Use Z01.10 for routine exams without prior failed screening.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Failed Hearing Screen to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z01.110.

Impact

Clinical: May lead to incorrect follow-up actions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Always include referral details in notes.

Impact

Reimbursement: Claims may be denied if Z01.110 is used incorrectly., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on hearing screening follow-ups.

Mitigation Strategy

Use Z01.10 for routine exams without prior failed screening.

Impact

Lack of detailed screening and referral information.

Mitigation Strategy

Implement checklist for required documentation elements.

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 Failed Hearing Screen, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Failed Hearing Screen

Use these documentation templates to ensure complete and accurate documentation for Failed Hearing Screen. These templates include all required elements for proper coding and billing.

Follow-up after failed school hearing screening

Specialty: Pediatrics

Required Elements

  • Screening date and results
  • Referral source
  • Follow-up test results
  • Clinical findings

Example Documentation

Patient referred after failing school hearing screen at 25 dB HL in left ear at 2000 Hz. Follow-up audiometry normal.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Child didn’t pass hearing test.
Good Documentation Example
Referred for audiology evaluation following failed school screening at 25 dB HL in left ear at 2000 Hz.
Explanation
The good example provides specific screening details and referral context.

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