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ICD-10 Guide
ICD-10 CodesH91.02

H91.02

Billable

Ototoxic hearing loss, left ear

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

Code Description

ICD-10 H91.02 is a billable code used to indicate a diagnosis of ototoxic hearing loss, left ear.

Key Diagnostic Point:

Ototoxic hearing loss refers to hearing impairment resulting from exposure to ototoxic agents, which can include certain medications, chemicals, or environmental factors. This condition specifically affects the left ear, leading to varying degrees of hearing loss that may be temporary or permanent. Clinical presentation often includes difficulty in hearing, tinnitus, and a sensation of fullness in the affected ear. Diagnosis typically involves audiometric testing to assess the degree of hearing loss and a thorough patient history to identify potential ototoxic exposures. Management may include discontinuation of the offending agent, hearing aids, or cochlear implants in severe cases. Regular monitoring and follow-up are essential to evaluate the progression of hearing loss and the effectiveness of interventions. Understanding the underlying causes and potential reversibility of ototoxic hearing loss is crucial for effective patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of ototoxic medications and their effects.
  • Differentiation from other types of hearing loss.
  • Need for comprehensive patient history and exposure assessment.
  • Potential for co-morbid conditions affecting hearing.

Audit Risk Factors

  • Inadequate documentation of ototoxic exposure.
  • Failure to document audiometric testing results.
  • Misclassification of hearing loss type.
  • Lack of follow-up documentation.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed patient history, audiometric test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with hearing loss after chemotherapy or exposure to ototoxic substances.

Billing Considerations

Ensure clear documentation of the timeline of exposure and onset of symptoms.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient history.

Common Clinical Scenarios

Assessment of hearing loss in patients with known ototoxic drug exposure.

Billing Considerations

Documenting the degree of hearing loss and any rehabilitative measures taken.

Coding Guidelines

Inclusion Criteria

Use H91.02 When
  • Follow ICD
  • CM guidelines for coding ototoxic hearing loss, ensuring accurate documentation of the left ear involvement
  • Include any relevant patient history and diagnostic tests performed

Exclusion Criteria

Do NOT use H91.02 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 assessing the degree of hearing loss in patients with suspected ototoxicity.

Documentation Requirements

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

Specialty Considerations

Otolaryngologists and audiologists should ensure thorough documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of ototoxic hearing loss, improving the accuracy of patient records and facilitating better management of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of ototoxic hearing loss, improving the accuracy of patient records and facilitating better management of the condition.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of ototoxic hearing loss, improving the accuracy of patient records and facilitating better management of the condition.

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 is the primary cause of ototoxic hearing loss?

Ototoxic hearing loss is primarily caused by exposure to certain medications, chemicals, or environmental factors that damage the inner ear structures.

How is ototoxic hearing loss diagnosed?

Diagnosis is typically made through audiometric testing, which assesses the degree of hearing loss, along with a detailed patient history to identify potential ototoxic exposures.

Can ototoxic hearing loss be reversed?

In some cases, if the ototoxic agent is identified and removed early, hearing loss may be temporary. However, in many instances, it can lead to permanent hearing impairment.