Ototoxic hearing loss, bilateral
ICD-10 H91.03 is a billable code used to indicate a diagnosis of ototoxic hearing loss, bilateral.
Ototoxic hearing loss is a type of hearing impairment that occurs as a result of exposure to ototoxic substances, which can include certain medications, chemicals, or environmental factors. Bilateral ototoxic hearing loss affects both ears and can lead to varying degrees of hearing impairment, ranging from mild to profound. Clinically, patients may present with symptoms such as difficulty understanding speech, tinnitus, and a sensation of fullness in the ears. The condition is often diagnosed through audiometric testing, which assesses the degree of hearing loss and can help differentiate it from other types of hearing impairment. Management typically involves identifying and discontinuing the ototoxic agent, providing auditory rehabilitation, and in some cases, utilizing hearing aids or cochlear implants. Regular monitoring of hearing function is essential, especially in patients receiving potentially ototoxic treatments, such as certain chemotherapy agents or high-dose antibiotics. The prognosis varies depending on the extent of exposure and the individual’s response to treatment.
Detailed history of ototoxic exposure, audiometric test results, and treatment plans.
Patients undergoing chemotherapy or those with a history of ototoxic medication use.
Ensure clear documentation of the ototoxic agent and its dosage.
Comprehensive audiological evaluations and patient history.
Assessment of hearing loss in patients with known ototoxic exposure.
Documenting the degree of hearing loss and any rehabilitative measures taken.
Used to assess the degree of hearing loss in patients suspected of ototoxicity.
Audiometric test results must be documented.
Otolaryngologists and audiologists should ensure thorough documentation of findings.
Ototoxic hearing loss is primarily caused by exposure to certain medications, such as aminoglycosides, chemotherapy agents like cisplatin, and high doses of salicylates, which can damage the inner ear structures.
