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ICD-10 Guide
ICD-10 CodesH83.03

H83.03

Billable

Labyrinthitis, bilateral

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

Code Description

ICD-10 H83.03 is a billable code used to indicate a diagnosis of labyrinthitis, bilateral.

Key Diagnostic Point:

Labyrinthitis is an inflammatory condition affecting the inner ear, specifically the labyrinth, which is responsible for both hearing and balance. Bilateral labyrinthitis indicates that both inner ears are affected. This condition can arise from various etiologies, including viral infections (such as those causing upper respiratory infections), bacterial infections, or autoimmune disorders. Patients typically present with symptoms such as vertigo, hearing loss, tinnitus, and imbalance. The clinical presentation may vary based on the underlying cause and the severity of the inflammation. Diagnosis is primarily clinical, supported by audiometric tests and imaging studies like MRI or CT scans to rule out other conditions. Management often involves treating the underlying cause, symptomatic relief with medications such as antihistamines or corticosteroids, and in some cases, vestibular rehabilitation therapy. Early diagnosis and intervention are crucial to prevent long-term complications, including permanent hearing loss or chronic vestibular dysfunction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between viral and bacterial causes
  • Potential overlap with other vestibular disorders
  • Need for comprehensive documentation of symptoms and treatments
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of bilateral involvement
  • Failure to specify the underlying cause of labyrinthitis
  • Misclassification of labyrinthitis as other vestibular disorders
  • Lack of supporting diagnostic tests in the medical record

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, diagnostic tests performed, and treatment plans.

Common Clinical Scenarios

Patients presenting with vertigo, hearing loss, and tinnitus following a viral infection.

Billing Considerations

Ensure clear documentation of the bilateral nature of the condition and any imaging studies performed.

Neurology

Documentation Requirements

Comprehensive neurological examination findings and any relevant imaging results.

Common Clinical Scenarios

Patients with dizziness and balance issues, particularly those with a history of migraines or neurological disorders.

Billing Considerations

Document any neurological assessments that differentiate labyrinthitis from other central causes of vertigo.

Coding Guidelines

Inclusion Criteria

Use H83.03 When
  • According to ICD
  • 10 coding guidelines, labyrinthitis is classified under diseases of the ear and mastoid process
  • Bilateral labyrinthitis is specifically coded as H83
  • Coders must ensure that documentation supports the bilateral diagnosis and any associated symptoms or underlying conditions

Exclusion Criteria

Do NOT use H83.03 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used to assess hearing loss in patients diagnosed with labyrinthitis.

Documentation Requirements

Document the results of the audiometric evaluation and any relevant history.

Specialty Considerations

Otolaryngologists should ensure that the audiometry results are clearly linked to the diagnosis of labyrinthitis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of labyrinthitis, including the differentiation between unilateral and bilateral cases, which aids in better tracking of epidemiology and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of labyrinthitis, including the differentiation between unilateral and bilateral cases, which aids in better tracking of epidemiology and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of labyrinthitis, including the differentiation between unilateral and bilateral cases, which aids in better tracking of epidemiology and treatment outcomes.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What are the common causes of bilateral labyrinthitis?

Bilateral labyrinthitis can be caused by viral infections, such as those associated with upper respiratory infections, bacterial infections, autoimmune conditions, or as a complication of chronic otitis media.