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v1.0.0
ICD-10 Guide
ICD-10 CodesH83.3

H83.3

Billable

Noise effects on inner ear

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

Code Description

ICD-10 H83.3 is a billable code used to indicate a diagnosis of noise effects on inner ear.

Key Diagnostic Point:

Noise effects on the inner ear, classified under ICD-10 code H83.3, refer to auditory damage resulting from exposure to excessive sound levels. This condition can lead to temporary or permanent hearing loss, tinnitus, and balance disorders. The inner ear, particularly the cochlea and vestibular system, is sensitive to loud noises, which can cause cellular damage and disrupt normal auditory and vestibular functions. Clinical presentations may include difficulty hearing, ringing in the ears, and dizziness. Diagnosis typically involves audiometric testing, patient history regarding noise exposure, and possibly imaging studies to rule out other conditions. Management strategies may include sound therapy, hearing aids, and lifestyle modifications to avoid further exposure to harmful noise levels. In severe cases, surgical interventions may be considered to address complications arising from noise-induced damage.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other ear conditions
  • Need for detailed patient history regarding noise exposure
  • Potential for co-morbid conditions affecting hearing
  • Variability in diagnostic testing and interpretation

Audit Risk Factors

  • Inadequate documentation of noise exposure history
  • Failure to specify the severity of hearing loss
  • Misclassification of temporary vs. permanent effects
  • Lack of supporting diagnostic tests in the medical record

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric test results, patient history of noise exposure, and clinical findings.

Common Clinical Scenarios

Patients presenting with sudden hearing loss after exposure to loud noise, or chronic tinnitus.

Billing Considerations

Ensure that all relevant diagnostic tests are documented to support the diagnosis of noise effects.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient history.

Common Clinical Scenarios

Assessment of hearing loss in patients with known occupational noise exposure.

Billing Considerations

Document the specific type of hearing loss and its correlation with noise exposure.

Coding Guidelines

Inclusion Criteria

Use H83.3 When
  • According to ICD
  • 10 guidelines, H83
  • 3 should be used when there is clear documentation of noise exposure leading to inner ear effects
  • It is important to differentiate this condition from other types of hearing loss and to document the duration and severity of symptoms

Exclusion Criteria

Do NOT use H83.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when evaluating a patient with suspected noise effects on the inner ear.

Documentation Requirements

Audiometric test results must be documented in detail.

Specialty Considerations

Otolaryngologists and audiologists should ensure that all relevant findings are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of noise-induced conditions, improving the accuracy of data collection and reimbursement processes for affected patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noise-induced conditions, improving the accuracy of data collection and reimbursement processes for affected patients.

Reimbursement & Billing Impact

reimbursement processes for affected patients.

Resources

Clinical References

  • •
    CDC Noise-Induced Hearing Loss

Coding & Billing References

  • •
    CDC Noise-Induced Hearing Loss

Frequently Asked Questions

What are the common symptoms of noise effects on the inner ear?

Common symptoms include hearing loss, tinnitus (ringing in the ears), and balance issues. Patients may report difficulty understanding speech in noisy environments.