ICD-10 Coding for Hard of Hearing(H90.3, H90.6)
Complete ICD-10-CM coding and documentation guide for Hard of Hearing. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hard of Hearing
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 audiometric testing confirms bilateral sensorineural hearing loss. |
|
| H90.6 | Bilateral mixed conductive and sensorineural hearing loss | Use when both conductive and sensorineural components are present. |
|
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 hard of hearing
Essential facts and insights about Hard of Hearing
Primary ICD-10-CM Codes for hard of hearing
Decision Criteria
clinical Criteria
- Audiogram confirms sensorineural hearing loss in both ears.
documentation Criteria
- Document specific audiometric findings and functional impact.
Applicable To
- Bilateral hearing loss due to nerve damage
Clinical Validation Requirements
- Audiogram showing bilateral sensorineural loss
- Speech discrimination scores below normal
Code-Specific Risks
- Misclassification if laterality is not confirmed
Coding Notes
- Ensure audiogram results are documented to support the diagnosis.
H90.6 - Bilateral mixed conductive and sensorineural hearing loss
Use when both conductive and sensorineural components are present.
Applicable To
- Hearing loss with both conductive and sensorineural components
Excludes
- Purely conductive hearing loss (H90.0-H90.2)
- Purely sensorineural hearing loss (H90.3)
Clinical Validation Requirements
- Audiogram showing mixed hearing loss
- Tympanometry indicating conductive component
Coding Notes
Document both conductive and sensorineural findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Central auditory processing disorder
H93.25Differential 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 Hard of Hearing 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 for denied claims or reduced reimbursement.
Mitigation Strategy
Always include laterality in documentation., Use specific codes that reflect the audiogram findings.
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Always specify laterality in the documentation and use the most specific code available.
Impact
Failure to document laterality can lead to audit findings.
Mitigation Strategy
Implement mandatory fields for laterality in EHR systems.
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 Hard of Hearing, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hard of Hearing
Use these documentation templates to ensure complete and accurate documentation for Hard of Hearing. These templates include all required elements for proper coding and billing.
Bilateral sensorineural hearing loss
Specialty: OtolaryngologyRequired Elements
- Audiogram results
- Speech discrimination scores
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hard of Hearing? Ask your questions below.