Mixed conductive and sensorineural hearing loss, bilateral
ICD-10 H90.6 is a billable code used to indicate a diagnosis of mixed conductive and sensorineural hearing loss, bilateral.
Mixed conductive and sensorineural hearing loss, bilateral, is a condition characterized by the simultaneous presence of both conductive and sensorineural hearing loss in both ears. Conductive hearing loss 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 can be due to conditions such as otitis media, earwax buildup, or structural abnormalities. Sensorineural hearing loss, on the other hand, results from damage to the inner ear (cochlea) or the auditory nerve pathways to the brain, often due to aging, noise exposure, or genetic factors. The combination of these two types of hearing loss can lead to a more complex clinical picture, requiring thorough evaluation and management. Patients may present with varying degrees of hearing impairment, difficulty understanding speech, and may benefit from audiometric testing to determine the extent and type of hearing loss. Management may include medical treatment for underlying conditions, hearing aids, or surgical interventions such as tympanoplasty or cochlear implants, depending on the severity and cause of the hearing loss.
Detailed audiometric evaluations, clinical history, and treatment plans.
Patients presenting with hearing loss, recurrent otitis media, or post-surgical evaluations.
Ensure clear documentation of both conductive and sensorineural components and their management.
Comprehensive audiological assessments, including pure-tone audiometry and tympanometry.
Hearing assessments for patients with mixed hearing loss and recommendations for hearing aids.
Accurate reporting of test results and their implications for treatment.
Used for initial evaluation of hearing loss.
Complete audiometric results and clinical history.
Otolaryngologists and audiologists should ensure thorough documentation of findings.
Surgical intervention for conductive component.
Surgical notes and pre-operative evaluations.
Ensure clear linkage between the surgical procedure and the diagnosis of mixed hearing loss.
Conductive hearing loss involves problems in the outer or middle ear that prevent sound from being conducted to the inner ear, while sensorineural hearing loss is due to damage to the inner ear or auditory nerve.
Mixed hearing loss is diagnosed through audiometric testing that shows both conductive and sensorineural components, typically assessed through air and bone conduction thresholds.
