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ICD-10 Guide
ICD-10 CodesChapter 8: Diseases of the ear and mastoid processH93

H93

Billable

Other disorders of ear, not elsewhere classified

Chapter 8:Diseases of the ear and mastoid process

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

Code Description

ICD-10 H93 is a billable code used to indicate a diagnosis of other disorders of ear, not elsewhere classified.

Key Diagnostic Point:

The H93 code encompasses a variety of ear disorders that do not fit neatly into other specific categories. This includes conditions such as eustachian tube dysfunction, non-specific ear pain, and certain types of hearing loss that are not classified under more specific codes. Patients may present with symptoms such as tinnitus, a sensation of fullness in the ear, or unexplained hearing loss. Diagnostic criteria often involve audiometric testing, tympanometry, and imaging studies when necessary. Management may include medical therapy, such as decongestants or corticosteroids, and in some cases, surgical interventions like tympanostomy or mastoidectomy may be indicated. The complexity of this code arises from the broad range of conditions it covers, necessitating careful clinical evaluation and documentation to ensure accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation to differentiate from other ear disorders
  • Potential overlap with other ICD-10 codes
  • Variability in clinical presentation and management

Audit Risk Factors

  • Inadequate documentation of the specific ear disorder
  • Failure to provide supporting clinical evidence for the diagnosis
  • Misuse of the code for conditions that have specific codes
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed clinical notes including patient history, examination findings, and diagnostic tests performed.

Common Clinical Scenarios

Patients presenting with unexplained hearing loss, tinnitus, or ear pain.

Billing Considerations

Ensure that all relevant diagnostic tests are documented to support the use of H93.

Audiology

Documentation Requirements

Audiometric test results and interpretations, along with patient history.

Common Clinical Scenarios

Assessment of hearing loss with no clear etiology.

Billing Considerations

Document the specific type of hearing loss and any interventions recommended.

Coding Guidelines

Inclusion Criteria

Use H93 When
  • According to ICD
  • 10 guidelines, H93 is used for disorders of the ear that do not have a more specific code
  • Coders should ensure that the documentation supports the use of this code and that it is not used when a more specific diagnosis is available

Exclusion Criteria

Do NOT use H93 When
No specific exclusions found.

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when evaluating a patient with unexplained hearing loss coded as H93.

Documentation Requirements

Audiometric test results and interpretations must be documented.

Specialty Considerations

Otolaryngologists and audiologists should ensure clear linkage between diagnosis and testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ear disorders, but H93 remains a catch-all for conditions that do not fit elsewhere. This can lead to increased scrutiny during audits if not properly documented.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear disorders, but H93 remains a catch-all for conditions that do not fit elsewhere. This can lead to increased scrutiny during audits if not properly documented.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear disorders, but H93 remains a catch-all for conditions that do not fit elsewhere. This can lead to increased scrutiny during audits if not properly documented.

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

When should I use H93 instead of a more specific code?

H93 should be used when the ear disorder does not fit into any other specific category and when the documentation supports a non-specific diagnosis.