ICD-10 Coding for Hearing Deficit(H90.3, H91.1)
Complete ICD-10-CM coding and documentation guide for Hearing Deficit. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hearing Deficit
H90-H94Primary Range
Hearing loss and other ear disorders
This range includes all types of hearing loss, categorized by type and laterality.
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 | Sensorineural hearing loss, bilateral | Use when audiometry confirms bilateral sensorineural hearing loss. |
|
| H91.1 | Presbycusis | Use for patients over 65 with age-related hearing decline. |
|
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 Deficit
Primary ICD-10-CM Codes for hearing deficit
Decision Criteria
clinical Criteria
- Audiometry confirms bilateral sensorineural loss.
Clinical Validation Requirements
- Audiometry showing ≥26 dB HL in the better ear across 0.5-4 kHz
Code-Specific Risks
- Avoid using if only unilateral loss is documented.
Coding Notes
- Ensure documentation specifies bilateral loss to avoid unspecified coding.
H91.1 - Presbycusis
Use for patients over 65 with age-related hearing decline.
Applicable To
- Age-related hearing loss
Excludes
- Noise-induced hearing loss (H83.3)
Clinical Validation Requirements
- Progressive bilateral hearing loss >30 dB at 4-8 kHz
Coding Notes
Ensure age and audiometric pattern support presbycusis diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for examination of ears and hearing without abnormal findings
Z01.10Differential 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 Hearing Deficit to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H90.3.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify type and laterality in documentation.
Impact
Reimbursement: Unspecified codes may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces the accuracy of health records.
Mitigation Strategy
Always use the most specific code available based on audiometry.
Impact
High risk of audit if unspecified codes are used when specific data is available.
Mitigation Strategy
Ensure documentation supports the most specific code.
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 Deficit, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hearing Deficit
Use these documentation templates to ensure complete and accurate documentation for Hearing Deficit. These templates include all required elements for proper coding and billing.
Audiology Evaluation for Hearing Loss
Specialty: AudiologyRequired Elements
- Type of hearing loss
- Laterality
- Audiometric results
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hearing Deficit? Ask your questions below.