ICD-10 Coding for Hearing Loss(H90.3, H91.01)
Complete ICD-10-CM coding and documentation guide for Hearing Loss. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hearing Loss
H90-H94Primary Range
Hearing loss and other disorders of the ear
This range includes all types of hearing loss, including conductive, sensorineural, and mixed types.
Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
Relevant for coding ototoxic hearing loss due to drug toxicity.
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 | Bilateral sensorineural hearing loss | Use when audiometry confirms bilateral sensorineural hearing loss. |
|
| H91.01 | Ototoxic hearing loss, right ear | Use when hearing loss is due to ototoxicity 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 sensorineural hearing loss
Essential facts and insights about Hearing Loss
Primary ICD-10-CM Codes for hearing loss
Decision Criteria
clinical Criteria
- Audiometry confirms bilateral sensorineural hearing loss.
Clinical Validation Requirements
- Audiometry confirming bilateral sensorineural loss
- PTA >25 dB in both ears
Code-Specific Risks
- Risk of using unspecified codes leading to denials.
Coding Notes
- Ensure documentation specifies bilateral sensorineural loss.
H91.01 - Ototoxic hearing loss, right ear
Use when hearing loss is due to ototoxicity in the right ear.
Applicable To
- Ototoxic deafness, right ear
Excludes
- Hearing loss due to other causes
Clinical Validation Requirements
- Temporal relationship to ototoxic drug
- Exclusion of other causes
Coding Notes
Sequence the ototoxic agent code first.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hearing Loss 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 coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document the ototoxic agent., Use specific codes for the agent.
Impact
Reimbursement: Unspecified codes may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of health data.
Mitigation Strategy
Use specific codes like H90.3 for bilateral sensorineural hearing loss.
Impact
High risk of audit if unspecified codes are used frequently.
Mitigation Strategy
Use specific codes and ensure detailed 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 Hearing Loss, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hearing Loss
Use these documentation templates to ensure complete and accurate documentation for Hearing Loss. These templates include all required elements for proper coding and billing.
Progressive bilateral sensorineural hearing loss
Specialty: OtolaryngologyRequired Elements
- Patient history
- Audiometry results
- Speech recognition scores
- Diagnosis and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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