ICD-10 Coding for Impaired Hearing(H90.0, H90.3, H91.0X)
Complete ICD-10-CM coding and documentation guide for Impaired Hearing. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Impaired Hearing
H90-H94Primary Range
Hearing loss and other disorders of the ear
This range includes codes for various types of hearing loss, including conductive, sensorineural, and mixed hearing loss.
Congenital malformations of ear causing hearing impairment
This range includes codes for congenital anomalies that result in hearing loss.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H90.0 | Bilateral conductive hearing loss | Use when audiogram confirms bilateral conductive hearing loss. |
|
| H90.3 | Bilateral sensorineural hearing loss | Use when audiogram confirms bilateral sensorineural hearing loss. |
|
| H91.0X | Ototoxic hearing loss | Use when hearing loss is linked to ototoxic drug exposure. |
|
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 impaired hearing
Essential facts and insights about Impaired Hearing
Primary ICD-10-CM Codes for impaired hearing
Decision Criteria
clinical Criteria
- Audiogram confirms conductive loss in both ears.
Applicable To
- Conductive hearing loss in both ears
Excludes
- Sensorineural hearing loss
Clinical Validation Requirements
- Audiogram showing air-bone gap ≥15 dB
Code-Specific Risks
- Ensure laterality is documented to avoid unspecified coding.
Coding Notes
- Ensure audiogram results are documented.
H90.3 - Bilateral sensorineural hearing loss
Use when audiogram confirms bilateral sensorineural hearing loss.
Applicable To
- Sensorineural hearing loss in both ears
Excludes
- Conductive hearing loss
Clinical Validation Requirements
- Audiogram showing pure tone average ≥20 dB HL
Coding Notes
Document audiogram results and any associated conditions.
H91.0X - Ototoxic hearing loss
Use when hearing loss is linked to ototoxic drug exposure.
Applicable To
- Hearing loss due to ototoxic drugs
Excludes
- Hearing loss due to other causes
Clinical Validation Requirements
- Documented exposure to ototoxic drugs
Coding Notes
Sequence with drug codes for complete documentation.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Impaired Hearing to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H90.0.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Always document the etiology if known., Use ancillary codes for drug-induced cases.
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Always document and code the specific ear affected.
Impact
Risk of audits due to unspecified codes.
Mitigation Strategy
Ensure documentation includes specific details like laterality and type.
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 Impaired Hearing, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Impaired Hearing
Use these documentation templates to ensure complete and accurate documentation for Impaired Hearing. These templates include all required elements for proper coding and billing.
Audiologic evaluation for hearing loss
Specialty: AudiologyRequired Elements
- Laterality
- Type of hearing loss
- Audiogram results
- Etiology
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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