ICD-10 Coding for Hearing Loss, Unspecified(H91.90)
Complete ICD-10-CM coding and documentation guide for Hearing Loss, Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hearing Loss, Unspecified
H91.90-H91.93Primary Range
Hearing loss, unspecified
This range covers unspecified hearing loss, used when the type or laterality of hearing loss is not determined.
Sensorineural hearing loss
Used when sensorineural hearing loss is confirmed but lacks specific details like laterality.
Key Information: ICD-10 code for unspecified hearing loss
Essential facts and insights about Hearing Loss, Unspecified
Primary ICD-10-CM Code for hearing loss unspecified
Decision Criteria
clinical Criteria
- Patient presents with hearing difficulties but no specific type or laterality is documented.
documentation Criteria
- Audiogram results are inconclusive for specific type or laterality.
Applicable To
- Hearing loss not otherwise specified
Clinical Validation Requirements
- Audiogram showing hearing loss without specific type or laterality
- Patient reports hearing difficulties without further specification
Code-Specific Risks
- Potential for audit if used without adequate documentation
- May lead to reimbursement issues if specificity is required
Coding Notes
- Ensure documentation supports the use of an unspecified code by confirming the absence of specific details.
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.
Unspecified sensorineural hearing loss
H90.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hearing Loss, Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H91.90.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding specificity requirements., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Review audiogram results thoroughly, Query the provider for additional details if necessary
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Reduces the accuracy of health data records.
Mitigation Strategy
Select the appropriate specific code (e.g., H90.3 for bilateral sensorineural hearing loss).
Impact
High risk of audit if unspecified codes are used without justification.
Mitigation Strategy
Ensure documentation clearly supports the use of unspecified codes.
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, Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hearing Loss, Unspecified
Use these documentation templates to ensure complete and accurate documentation for Hearing Loss, Unspecified. These templates include all required elements for proper coding and billing.
Patient presents with hearing difficulties
Specialty: OtolaryngologyRequired Elements
- Chief complaint
- Audiogram results
- Patient history
- Physical examination findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hearing Loss, Unspecified? Ask your questions below.