Conductive hearing loss, bilateral
ICD-10 H90.0 is a billable code used to indicate a diagnosis of conductive hearing loss, bilateral.
Conductive hearing loss, bilateral, refers to a type of hearing impairment that occurs when sound waves are not efficiently conducted through the outer ear canal to the eardrum and the tiny bones of the middle ear. This condition can result from various factors, including ear infections (otitis media), fluid accumulation in the middle ear, perforation of the eardrum, or abnormalities in the ear structure. Patients may present with symptoms such as a sensation of fullness in the ears, difficulty hearing soft sounds, and a reduction in sound clarity. Diagnosis typically involves a thorough clinical examination, audiometric testing, and imaging studies if structural abnormalities are suspected. Management may include medical treatment for underlying conditions (e.g., antibiotics for otitis media), surgical interventions (e.g., tympanoplasty or placement of tympanostomy tubes), and hearing aids if necessary. Early intervention is crucial to prevent long-term auditory deficits, especially in pediatric populations.
Detailed history of ear symptoms, audiometric test results, and treatment plans.
Patients presenting with recurrent ear infections, conductive hearing loss following trauma, or post-surgical follow-up.
Ensure clear documentation of the type of conductive hearing loss and any surgical interventions performed.
Comprehensive audiological evaluations, including pure-tone audiometry and tympanometry results.
Assessment of hearing loss in children with recurrent otitis media or adults with sudden hearing loss.
Document the impact of hearing loss on daily functioning and any recommendations for hearing aids or assistive devices.
Used for patients with recurrent otitis media leading to conductive hearing loss.
Document the indication for surgery and pre-operative audiometric findings.
Otolaryngologists should ensure clear documentation of the surgical procedure and expected outcomes.
Common causes include otitis media, eustachian tube dysfunction, cerumen impaction, and structural abnormalities such as ossicular chain discontinuity.
Diagnosis is typically made through a combination of clinical history, physical examination, and audiometric testing, which shows a conductive pattern in hearing thresholds.
Treatment options may include medical management of underlying conditions, surgical interventions like tympanoplasty, and the use of hearing aids if necessary.
