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ICD-10 Guide
ICD-10 CodesH69.82

H69.82

Billable

Other specified disorders of Eustachian tube, left ear

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H69.82 is a billable code used to indicate a diagnosis of other specified disorders of eustachian tube, left ear.

Key Diagnostic Point:

H69.82 refers to other specified disorders of the Eustachian tube affecting the left ear. The Eustachian tube plays a crucial role in equalizing pressure in the middle ear and draining secretions. Disorders of this tube can lead to various complications, including otitis media, hearing loss, and balance issues. Patients may present with symptoms such as ear fullness, pain, hearing impairment, and recurrent ear infections. Diagnosis typically involves a thorough clinical examination, audiometric testing, and possibly imaging studies to assess the Eustachian tube's function and anatomy. Management may include medical therapy, such as decongestants or nasal corticosteroids, and in some cases, surgical interventions like tympanostomy tubes or Eustachian tube balloon dilation may be indicated. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes for Eustachian tube dysfunction
  • Overlap with other ear-related diagnoses
  • Need for precise documentation of symptoms and treatments
  • Potential for multiple co-existing conditions

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the laterality of the condition
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear symptoms, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with recurrent otitis media, Eustachian tube dysfunction, or hearing loss.

Billing Considerations

Ensure documentation reflects the specific nature of the Eustachian tube disorder and any interventions performed.

Audiology

Documentation Requirements

Audiometric test results, patient history regarding hearing loss, and any interventions recommended.

Common Clinical Scenarios

Patients undergoing hearing assessments due to suspected Eustachian tube dysfunction.

Billing Considerations

Document the correlation between audiometric findings and Eustachian tube disorders.

Coding Guidelines

Inclusion Criteria

Use H69.82 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's specifics, including laterality and any associated conditions

Exclusion Criteria

Do NOT use H69.82 When
  • Exclude conditions that are not directly related to Eustachian tube disorders

Related ICD-10 Codes

Related CPT Codes

69436CPT Code

Tympanostomy, general anesthesia

Clinical Scenario

Used for patients with recurrent otitis media and Eustachian tube dysfunction.

Documentation Requirements

Document the indication for surgery and pre-operative assessments.

Specialty Considerations

Otolaryngologists should ensure that the surgical necessity is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Eustachian tube disorders, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Eustachian tube disorders, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What symptoms indicate the use of H69.82?

Symptoms such as ear fullness, pain, hearing loss, and recurrent ear infections may indicate the use of H69.82, provided they are linked to Eustachian tube dysfunction.