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H91.90
ICD-10-CM
Hearing Loss, Unspecified

Find information on Hearing Loss, Unspecified, including details on diagnosis, clinical documentation, and medical coding. This resource covers ICD-10 code H91.9, unspecified hearing loss, and addresses sensorineural hearing loss, conductive hearing loss, and mixed hearing loss when a specific type is not documented. Learn about audiometry testing, hearing impairment, and deafness for accurate clinical documentation and appropriate medical coding for healthcare professionals. Explore resources for patients and clinicians regarding hearing loss treatment and management options.

Also known as

Unspecified Hearing Loss
Hearing Impairment, Unspecified

Diagnosis Snapshot

Key Facts
  • Definition : Reduced ability to hear sounds.
  • Clinical Signs : Difficulty understanding speech, asking for repetition, turning up volume.
  • Common Settings : Primary care, audiology clinics, ENT specialist

Related ICD-10 Code Ranges

Complete code families applicable to AAPC H91.90 Coding
H90-H95

Hearing loss and deafness

Covers various types of hearing impairment.

R42

Dizziness and giddiness

Includes vertigo which can be related to inner ear issues.

H81

Disorders of vestibular function

Balance problems can sometimes accompany hearing loss.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is hearing loss documented?

  • Yes

    Is the laterality specified (right, left, bilateral)?

  • No

    Do NOT code hearing loss. Query physician for clarification if suspected.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Hearing Loss, Unspecified
Conductive Hearing Loss
Sensorineural Hearing Loss

Documentation Best Practices

Documentation Checklist
  • Document laterality (right, left, bilateral).
  • Describe onset (sudden, gradual, age).
  • Detail any associated symptoms (tinnitus, vertigo).
  • List diagnostic tests performed (audiogram, tympanometry).
  • Specify if conductive, sensorineural, or mixed if known.

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Documentation lacks clarity on whether hearing loss affects right, left, or both ears, impacting code selection (H91.90, H91.91, H91.92).

  • Missing Conductive vs Sensorineural

    Failure to document the type of hearing loss (conductive, sensorineural, mixed) leads to unspecified coding and potential underpayment.

  • Unconfirmed Hearing Loss Diagnosis

    Symptoms documented without objective audiometric testing confirmation may lead to inaccurate coding of suspected, rather than confirmed, hearing loss.

Mitigation Tips

Best Practices
  • Document laterality, duration, severity for H91.9
  • Rule out other diagnoses before H91.9 coding
  • Audiometry testing crucial for accurate hearing loss dx
  • Query physician for specifics if H91.9 documented
  • ICD-10 specificity improves reimbursement for H91.9

Clinical Decision Support

Checklist
  • Confirm laterality (right, left, bilateral)
  • Document hearing loss degree (mild, moderate, etc.)
  • Onset documented (sudden, gradual, age of onset)
  • Check for related diagnoses (e.g., tinnitus, vertigo)

Reimbursement and Quality Metrics

Impact Summary
  • Hearing Loss Unspecified reimbursement impacts accurate ICD-10 coding (H91.9) for optimal claim processing and reduces denials.
  • Coding quality metrics for H91.9 affect hospital value-based purchasing and overall performance scores tied to reimbursement.
  • Accurate Hearing Loss Unspecified diagnosis coding improves data integrity for hospital reporting and resource allocation.
  • H91.9 coding specificity impacts physician documentation quality and clinical outcomes tracking for hearing loss patients.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code H91.9 for unspecified hearing loss
  • Document hearing loss specifics if known
  • Avoid H91.9 with other ear diagnoses
  • Check for laterality documentation
  • Query physician if details emerge

Documentation Templates

Patient presents with complaints of hearing difficulty, consistent with hearing loss.  The onset, duration, and laterality of hearing loss are unspecified.  Patient reports challenges with speech discrimination and communication in various environments.  A comprehensive audiological evaluation is recommended to determine the type, degree, and configuration of hearing loss.  Differential diagnoses include sensorineural hearing loss, conductive hearing loss, and mixed hearing loss.  Further investigation may involve pure tone audiometry, speech audiometry, and tympanometry.  Management options will be determined based on the specific etiology and severity of the hearing loss and may include hearing aids, assistive listening devices, cochlear implants, or referral to an otolaryngologist.  Patient education regarding hearing loss management and communication strategies will be provided.  ICD-10 code H91.9, Hearing loss, unspecified, is assigned.  Follow-up appointment scheduled for further evaluation and discussion of management options.  This documentation supports medical necessity for audiological testing and potential intervention for hearing impairment.