Download Hearing Services ICD-10-CM Coding Tip Sheet

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.
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