ICD-10 Coding for Bilateral Sensorineural Hearing Loss(H90.3)
Complete ICD-10-CM coding and documentation guide for Bilateral Sensorineural Hearing Loss. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bilateral Sensorineural Hearing Loss
H90-H94Primary Range
Hearing loss and other disorders of the ear
This range includes all types of hearing loss, including sensorineural, conductive, and mixed types.
Key Information: ICD-10 code for bilateral sensorineural hearing loss
Essential facts and insights about Bilateral Sensorineural Hearing Loss
Primary ICD-10-CM Code for sensorineural hearing loss bilateral
Decision Criteria
clinical Criteria
- Audiometry showing bilateral sensorineural loss
documentation Criteria
- Documented audiometric results and speech discrimination scores
Applicable To
- Bilateral sensorineural hearing impairment
Clinical Validation Requirements
- Audiometry confirming ≥30 dB HL sensorineural loss in both ears
- Speech discrimination scores ≤80% bilaterally
- Normal tympanometry (Type A)
Code-Specific Risks
- Incorrect use if laterality is not specified
- Misuse when mixed hearing loss is present
Coding Notes
- Ensure audiometric confirmation and specify bilateral involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Noise effects on inner ear
H83.3Differential 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 Bilateral Sensorineural Hearing Loss 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 plans., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Ensure comprehensive audiometric testing, Document specific type and laterality of hearing loss
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies sensorineural type and bilateral involvement.
Impact
Inaccurate documentation of hearing loss type and laterality.
Mitigation Strategy
Regular audits of audiometric documentation and coding practices.
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 Bilateral Sensorineural Hearing Loss, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bilateral Sensorineural Hearing Loss
Use these documentation templates to ensure complete and accurate documentation for Bilateral Sensorineural Hearing Loss. These templates include all required elements for proper coding and billing.
ENT Clinic Visit for Bilateral SNHL
Specialty: OtolaryngologyRequired Elements
- Patient history of hearing loss
- Audiometric test results
- Speech discrimination scores
- Tympanometry results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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