2025 ICD-10-CM code H90
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the ear and mastoid process - Other disorders of ear Chapter VIII: Diseases of the ear and mastoid process (H60-H95) Feed
Conductive and sensorineural hearing loss.
Modifiers may be used depending on the circumstances of the visit and services provided.Consult appropriate coding guidelines for additional information.
Medical necessity is established through clinical findings of hearing impairment significantly impacting the patient's ability to communicate and participate in daily activities.Audiometric testing demonstrating a hearing loss that warrants intervention (e.g., hearing aids, assistive listening devices, or other therapies).
Audiologist or ENT physician for diagnosis, treatment planning, and management of hearing loss.May involve other specialists depending on the underlying cause.
In simple words: This code means a person has trouble hearing because of problems with how sounds travel to the brain (conductive hearing loss) or problems with the inner ear or the nerves that send sound signals to the brain (sensorineural hearing loss), or a combination of both.
This ICD-10-CM code classifies conductive and sensorineural hearing loss.It encompasses various types of hearing impairment affecting the transmission of sound through the middle ear (conductive) or the inner ear and auditory nerve (sensorineural), or both.The code excludes specific types of hearing loss such as deaf nonspeaking NEC (H91.3), deafness NOS (H91.9-), hearing loss NOS (H91.9-), noise-induced hearing loss (H83.3-), ototoxic hearing loss (H91.0-), and sudden (idiopathic) hearing loss (H91.2-).
Example 1: A 60-year-old patient presents with progressive bilateral hearing loss, confirmed by audiometry showing both conductive and sensorineural components.The patient reports difficulty understanding speech in noisy environments. H90 is used to code this., A 25-year-old patient experiences sudden, unilateral sensorineural hearing loss following a viral infection.While H91.2- might be more specific if it's determined to be idiopathic sudden sensorineural hearing loss, H90 could be used as a preliminary or if the etiology is uncertain., An 80-year-old patient with age-related hearing loss exhibits both conductive and sensorineural components on audiological evaluation.H90 is used to code this case of presbycusis.
Detailed history of hearing loss, including onset, progression, and associated symptoms.Audiometric results specifying the type and degree of hearing loss.Results of any additional tests performed to investigate the underlying cause (e.g., imaging studies, blood tests).
** This code is a broad category and may require further specification depending on the clinical context.Careful consideration of the type and cause of hearing loss is crucial for accurate coding.Always refer to the latest ICD-10-CM guidelines.
- Payment Status: Active
- Specialties:Audiology, Otolaryngology
- Place of Service:Office, Hospital (Inpatient or Outpatient),Audiology Clinic