Sudden idiopathic hearing loss, bilateral
ICD-10 H91.23 is a billable code used to indicate a diagnosis of sudden idiopathic hearing loss, bilateral.
Sudden idiopathic hearing loss (SIHL) is characterized by a rapid onset of hearing loss, typically occurring over a period of 72 hours or less, without an identifiable cause. When this condition affects both ears, it is classified as bilateral SIHL. Patients may present with a range of symptoms, including a feeling of fullness in the ears, tinnitus (ringing in the ears), and a noticeable decrease in hearing ability. The etiology of SIHL remains largely unknown, although it may be associated with viral infections, vascular events, or autoimmune disorders. Diagnosis is primarily clinical, supported by audiometric testing to confirm the degree and type of hearing loss. Management often involves corticosteroids to reduce inflammation and promote recovery, although the effectiveness of treatment can vary. Early intervention is crucial, as prompt treatment may improve outcomes. Patients may also benefit from audiological rehabilitation, including hearing aids or assistive listening devices, depending on the severity of the hearing loss.
Detailed audiometric results, clinical history, and treatment plan.
Patients presenting with sudden hearing loss, tinnitus, or ear fullness.
Ensure thorough documentation of differential diagnoses and treatment rationale.
Comprehensive audiological assessments and patient history.
Hearing evaluations for patients with sudden hearing loss.
Document the impact of hearing loss on daily functioning and any rehabilitation efforts.
Used to assess the degree of hearing loss in patients suspected of SIHL.
Document the results of the audiometric evaluation and any relevant patient history.
Otolaryngologists and audiologists should ensure thorough documentation to support the diagnosis.
The primary treatment for sudden idiopathic hearing loss is corticosteroids, which may help reduce inflammation and improve hearing recovery. Early intervention is crucial for better outcomes.
