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Hearing Services ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Hearing Services and Top 25 codes Chapter 7: Diseases of the Eye and Adnexa (H00-H59) Diseases of the eye and adnexa are a new chapter in ICD-10-CM Terminology improvements Revisions to identify laterality: - Many of the codes have laterality designation and, in some instances, bilateral designation for diseases of the eye and ear - A code for unspecified site is also provided should the site not be identified in the medical record Chapter 18: Symptoms, signs, and abnormal clinical and laboratory findings (R00-R99) Many categories in this chapter could be designated as: - “Not otherwise specified” - “Unknown etiology” - “Transient” There are codes to identify a patient’s coma scale (for use in the emergency room setting) There are a number of combination codes that identify both the definitive diagnosis and common symptoms of that diagnosis (Source: 2014 Draft ICD-10-CM Official Guidelines for Coding and Reporting) The Top 25 Hearing Services ICD-9 to ICD-10 mappings start on the chart below Top 1-25 ICD-9 1 2 3 389.18 389.10 780.4 Sensorineural hearing loss, bilateral Sensorineural hearing loss, unspecified Dizziness and giddiness 4 381.81 Dysfunction of eustachian tube Description ICD-9 ICD-10 H90.3 H90.5 R42 H69.80 H69.81 H69.82 5 6 7 8 389.16 389.11 389.06 389.9 Sensorineural hearing loss, asymmetrical Sensory hearing loss, bilateral Conductive hearing loss, bilateral Unspecified hearing loss 1 H69.83 H90.5 H90.3 H90.0 H91.90 H91.91 Description ICD-10 Sensorineural hearing loss, bilateral Unspecified sensorineural hearing loss Dizziness and giddiness Other specified disorders of eustachian tube, unspecified ear Other specified disorders of eustachian tube, right ear Other specified disorders of eustachian tube, left ear Other specified disorders of eustachian tube, bilateral Unspecified sensorineural hearing loss Sensorineural hearing loss, bilateral Conductive hearing loss, bilateral Unspecified hearing loss, unspecified ear Unspecified hearing loss, right ear Top 1-25 ICD-9 9 388.40 Description ICD-9 ICD-10 H91.92 H91.93 Abnormal auditory perception unspecified H93.241 H93.242 H93.243 H93.249 H93.291 H93.292 H93.293 H93.299 H93.11 H93.12 H93.13 H93.19 10 388.30 Tinnitus, unspecified 11 12 389.22 382.9 Mixed hearing loss, bilateral Unspecified otitis media H90.6 H66.90 H66.91 H66.92 H66.93 13 389.05 Conductive hearing loss, unilateral H90.11 14 389.00 15 381.10 Conductive hearing loss, unspecified Chronic serous otitis media simple or unspecified 16 388.31 Subjective tinnitis 17 389.21 Mixed hearing loss, unilateral H90.12 H90.2 H65.20 H65.21 H65.22 H65.23 H93.11 H93.12 H93.13 H93.19 H90.71 H90.72 2 Description ICD-10 Unspecified hearing loss, left ear Unspecified hearing loss, bilateral Temporary auditory threshold shift, right ear Temporary auditory threshold shift, left ear Temporary auditory threshold shift, bilateral Temporary auditory threshold shift, unspecified ear Other abnormal auditory perceptions, right ear Other abnormal auditory perceptions, left ear Other abnormal auditory perceptions, bilateral Other abnormal auditory perceptions, unspecified ear Tinnitus, right ear Tinnitus, left ear Tinnitus, bilateral Tinnitus, unspecified ear Mixed conductive and sensorineural hearing loss, bilateral Otitis media unspecified, unspecified ear Otitis media unspecified, right ear Otitis media unspecified, left ear Otitis media unspecified, bilateral Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side Conductive hearing loss, unspecified Chronic serous otitis media, unspecified ear Chronic serous otitis media, right ear Chronic serous otitis media, left ear Chronic serous otitis media, bilateral Tinnitis, right ear Tinnitis, left ear Tinnitis, bilateral Tinnitis, unspecified ear Mixed conductive and sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side Mixed conductive and sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side Top 1-25 ICD-9 18 389.15 19 389.03 Description ICD-9 ICD-10 Sensorineural hearing loss, unilateral H90.41 Conductive hearing loss, middle ear H90.42 H90.0 H90.11 H90.12 H90.2 20 389.17 Sensory hearing loss, unilateral H90.41 H90.42 21 22 389.20 386.10 Mixed hearing loss, unspecified Peripheral vertigo, unspecified 23 386.11 Benign paroxysmal positional vertigo 24 386.12 Vestibular neuronitis 25 389.08 Conductive hearing loss of combined types H90.8 H81.391 H81.392 H81.393 H81.399 H81.10 H81.11 H81.12 H81.13 H81.20 H81.21 H81.22 H81.23 H90.0 H90.11 H90.12 H90.2 Description ICD-10 Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side Conductive hearing loss, bilateral Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side Conductive hearing loss, unspecified Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side Mixed conductive and sensorineural hearing loss, unspecified Other peripheral vertigo, right ear Other peripheral vertigo, left ear Other peripheral vertigo, bilateral Other peripheral vertigo, unspecified ear Benign paroxysmal vertigo, unspecified ear Benign paroxysmal vertigo, right ear Benign paroxysmal vertigo, left ear Benign paroxysmal vertigo, bilateral Vestibular neuronitis, unspecified ear Vestibular neuronitis, right ear Vestibular neuronitis, left ear Vestibular neuronitis, bilateral Conductive hearing loss, bilateral Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side Conductive hearing loss, unspecified *Note: There are 21 additional CMS GEMs mappings to ICD-9 code 728.9. They pertain to disorders of muscle in disease classified elsewhere, but to a specific site of the extremity, and would not directly apply to the specialty of Speech. Here is an example: Disorders of muscle in diseases classified elsewhere, right shoulder. The codes highlighted in orange indicate the individual ICD-9 code that is being mapped to one or many ICD-10 codes (Source of ICD-9-CM to ICD-10-CM mappings: CMS.org General Equivalence Mappings (GEMs), 2015) The information in this document is not intended to impart legal advice. This overview is intended as an educational tool only and should not be relied upon as legal or compliance advice. If you have any legal questions about the information contained herein, you should consult your attorney or other professional legal services provider. 3