ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH92.0

H92.0

Billable

Otalgia

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

Code Description

ICD-10 H92.0 is a billable code used to indicate a diagnosis of otalgia.

Key Diagnostic Point:

Otalgia, commonly referred to as ear pain, can arise from various etiologies affecting the ear and surrounding structures. It may be classified as primary, originating from the ear itself, or secondary, resulting from referred pain from other areas such as the throat or jaw. Common causes of otalgia include otitis media, otitis externa, and temporomandibular joint disorders. Patients may present with sharp, dull, or throbbing pain, often accompanied by other symptoms such as hearing loss, tinnitus, or fever. Diagnosis typically involves a thorough history and physical examination, including otoscopic evaluation to assess for signs of infection or inflammation. Management may include analgesics, antibiotics for bacterial infections, or referral for surgical intervention in cases of chronic otitis media or perforated tympanic membranes. Understanding the underlying cause is crucial for effective treatment and prevention of complications, such as hearing loss or mastoiditis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and secondary causes of ear pain
  • Variability in presentation based on age and underlying conditions
  • Need for comprehensive documentation to support diagnosis
  • Potential for co-existing conditions that may complicate coding

Audit Risk Factors

  • Inadequate documentation of the cause of otalgia
  • Failure to specify whether the condition is acute or chronic
  • Misuse of codes for related conditions (e.g., otitis media)
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of present illness, physical examination findings, and any imaging or lab results.

Common Clinical Scenarios

Patients presenting with recurrent ear infections, chronic otalgia, or complications from previous ear surgeries.

Billing Considerations

Ensure documentation reflects the specific type of otalgia and any associated conditions for accurate coding.

Pediatrics

Documentation Requirements

Growth and development history, vaccination status, and family history of ear conditions.

Common Clinical Scenarios

Children with recurrent otitis media or those presenting with fever and ear pain.

Billing Considerations

Consider age-related factors in diagnosis and treatment, as well as parental concerns.

Coding Guidelines

Inclusion Criteria

Use H92.0 When
  • According to ICD
  • 10 guidelines, H92
  • 0 should be used when the primary complaint is ear pain without a specified underlying cause
  • Documentation must support the diagnosis, including any relevant history and examination findings

Exclusion Criteria

Do NOT use H92.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

When a patient presents with ear pain due to cerumen impaction.

Documentation Requirements

Document the presence of cerumen and the procedure performed.

Specialty Considerations

Otolaryngologists may perform this procedure in an office setting.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ear-related conditions, improving the accuracy of diagnoses and treatment plans. H92.0 provides a clear designation for ear pain, facilitating better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear-related conditions, improving the accuracy of diagnoses and treatment plans. H92.0 provides a clear designation for ear pain, facilitating better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between H92.0 and H92.1?

H92.0 is used for specific cases of otalgia where the cause is known, while H92.1 is for unspecified earache cases. Accurate documentation is crucial for selecting the appropriate code.