Deaf nonspeaking, not elsewhere classified
ICD-10 H91.3 is a billable code used to indicate a diagnosis of deaf nonspeaking, not elsewhere classified.
H91.3 refers to individuals who are deaf and do not use spoken language as their primary means of communication. This condition may arise from various etiologies, including congenital factors, acquired hearing loss due to otitis media, vestibular disorders, or neurological conditions affecting speech production. Patients may present with varying degrees of hearing impairment, often identified through audiometric testing. The absence of spoken language can be due to a combination of factors, including the age of onset of hearing loss and the availability of early intervention services. Management typically involves a multidisciplinary approach, including audiology, speech therapy, and educational support, to facilitate communication through alternative methods such as sign language or assistive technologies. Accurate coding requires a thorough understanding of the patient's history and the specific circumstances surrounding their deafness and communication abilities.
Audiometric evaluations, patient history, and communication assessments.
Assessment of hearing loss in children and adults, fitting of hearing aids, and cochlear implant evaluations.
Documentation must clearly outline the type and degree of hearing loss and any interventions provided.
Detailed reports on speech and language assessments, treatment plans, and progress notes.
Therapy sessions focusing on alternative communication methods, such as sign language.
Accurate coding requires clear documentation of the patient's communication methods and progress.
Used for assessing hearing loss in patients with H91.3.
Audiometric test results and patient history.
Audiologists must document the type of hearing loss and communication methods.
H91.3 is specifically for individuals who are deaf and do not use spoken language, while H91.2 includes those who may have hearing loss but can still speak.
