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ICD-10 Coding for Hearing Loss Right Ear(H90.11, H90.A11)

Complete ICD-10-CM coding and documentation guide for Hearing Loss Right Ear. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Right Ear Hearing LossUnilateral Hearing Loss Right Ear

Related ICD-10 Code Ranges

Complete code families applicable to Hearing Loss Right Ear

H90-H91Primary Range

Hearing loss

This range includes all types of hearing loss, including conductive, sensorineural, and mixed, specific to the right ear.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
H90.11Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral sideUse when the patient has conductive hearing loss in the right ear with normal hearing in the left ear.
  • Audiogram showing air-bone gap ≥15 dB
  • Intact tympanic membrane
  • Negative Rinne test (BC > AC)
H90.A11Conductive hearing loss, unilateral, right ear, with restricted hearing on the contralateral sideUse when the patient has conductive hearing loss in the right ear with abnormal hearing in the left ear.
  • Audiogram showing mixed or sensorineural hearing loss in the left ear
  • Asymmetric thresholds
  • Contralateral speech discrimination ≤80%

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 hearing loss right ear

Essential facts and insights about Hearing Loss Right Ear

The ICD-10 code for conductive hearing loss in the right ear is H90.11 for normal contralateral hearing and H90.A11 for restricted.

Primary ICD-10-CM Codes for hearing loss right ear

Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side
Billable Code

Decision Criteria

clinical Criteria

  • Presence of air-bone gap and normal contralateral hearing

Applicable To

  • Right ear conductive hearing loss with normal hearing in the left ear

Excludes

  • Sensorineural hearing loss (H90.41)

Clinical Validation Requirements

  • Audiogram showing air-bone gap ≥15 dB
  • Intact tympanic membrane
  • Negative Rinne test (BC > AC)

Code-Specific Risks

  • Misclassification if contralateral hearing is not assessed

Coding Notes

  • Ensure contralateral hearing is documented as normal.

Differential Codes

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

Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side

H90.41
Use when audiogram shows cochlear or retrocochlear findings.

Sensorineural hearing loss, unilateral, right ear, with restricted hearing on the contralateral side

H90.A21
Use when there is sensorineural loss in the right ear and mixed or conductive loss in the left ear.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hearing Loss Right Ear to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H90.11.

Impact

Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Use templates that prompt for contralateral hearing status, Educate staff on documentation requirements

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in health records.

Mitigation Strategy

Always use the most specific code available, such as H90.11 instead of H90.2.

Impact

Using unspecified codes when specific codes are available.

Mitigation Strategy

Educate coders on the importance of using specific codes and provide decision support tools.

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 Hearing Loss Right Ear, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hearing Loss Right Ear

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

Documenting conductive hearing loss in the right ear

Specialty: Otolaryngology

Required Elements

  • Audiogram results
  • Tympanometry findings
  • Contralateral hearing status

Example Documentation

Patient presents with conductive hearing loss in the right ear. Audiogram shows air-bone gap ≥15 dB. Tympanic membrane intact. Left ear hearing normal.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hearing loss right ear.
Good Documentation Example
Right conductive hearing loss with 35 dB ABG at 500-4000 Hz, intact TM, type A tympanogram.
Explanation
The good example provides specific audiometric data and tympanometry results, supporting the code selection.

Need help with ICD-10 coding for Hearing Loss Right Ear? Ask your questions below.

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