ICD-10 Coding for Hearing Evaluation(H90.3, H93.293)
Complete ICD-10-CM coding and documentation guide for Hearing Evaluation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hearing Evaluation
H90-H94Primary Range
Hearing loss and other disorders of the ear
This range includes codes for various types of hearing loss and auditory perception disorders.
Encounter for examination of ears and hearing
These codes are used for routine hearing examinations and screenings.
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. |
|
| H93.293 | Abnormal auditory perception, bilateral | Use when the patient has normal hearing thresholds but reports auditory perception issues. |
|
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 evaluation
Essential facts and insights about Hearing Evaluation
Primary ICD-10-CM Codes for hearing evaluation
Decision Criteria
clinical Criteria
- Audiogram shows bilateral sensorineural hearing loss.
documentation Criteria
- Detailed audiometric results are documented.
Clinical Validation Requirements
- Audiogram showing bilateral sensorineural hearing loss
- Absent otoacoustic emissions (OAEs)
Code-Specific Risks
- Ensure audiometric results are documented to support the diagnosis.
Coding Notes
- Document specific audiometric findings to justify the use of this code.
H93.293 - Abnormal auditory perception, bilateral
Use when the patient has normal hearing thresholds but reports auditory perception issues.
Applicable To
- Difficulty understanding speech in noise
Excludes
- Normal hearing (Z01.10)
Clinical Validation Requirements
- Patient reports difficulty understanding speech in noise
- Normal hearing thresholds on audiogram
Coding Notes
Document patient-reported symptoms and audiometric findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Evaluation 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 clinical picture., Regulatory: Potential non-compliance with coding standards., Financial: Risk of claim denials.
Mitigation Strategy
Always document patient-reported symptoms., Review audiometric findings with patient history.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate health records.
Mitigation Strategy
Use symptom-specific codes first, such as H93.1 for tinnitus.
Impact
Improper billing of separate audiometry components.
Mitigation Strategy
Use comprehensive codes like 92557 when appropriate.
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 Evaluation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hearing Evaluation
Use these documentation templates to ensure complete and accurate documentation for Hearing Evaluation. These templates include all required elements for proper coding and billing.
Routine hearing evaluation
Specialty: AudiologyRequired Elements
- Chief complaint
- History of present illness
- Audiometric test results
- Diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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