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ICD-10 Guide
ICD-10 CodesH93.013

H93.013

Billable

Transient ischemic deafness, bilateral

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

Code Description

ICD-10 H93.013 is a billable code used to indicate a diagnosis of transient ischemic deafness, bilateral.

Key Diagnostic Point:

Transient ischemic deafness, bilateral, refers to a temporary loss of hearing in both ears due to transient ischemic attacks (TIAs) affecting the auditory pathways. This condition can manifest as sudden, reversible hearing loss, often accompanied by other neurological symptoms such as dizziness or tinnitus. The ischemic episodes may result from vascular insufficiency, often linked to underlying conditions such as atherosclerosis or embolic events. Diagnosis typically involves a thorough clinical evaluation, including patient history, audiometric testing, and imaging studies to rule out other causes of hearing loss. Management focuses on addressing the underlying vascular issues, which may include lifestyle modifications, medication for vascular health, and monitoring for potential progression to more severe cerebrovascular events. The transient nature of the hearing loss distinguishes it from permanent forms of deafness, making timely diagnosis and intervention crucial.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires differentiation from permanent hearing loss codes.
  • Involves understanding of transient ischemic attacks and their effects.
  • Documentation must clearly indicate the transient nature of the condition.
  • Potential overlap with other auditory and vestibular disorders.

Audit Risk Factors

  • Insufficient documentation of transient nature.
  • Lack of supporting diagnostic tests.
  • Inconsistent coding of bilateral versus unilateral conditions.
  • Failure to document underlying vascular conditions.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric evaluations, imaging studies, and patient history regarding transient symptoms.

Common Clinical Scenarios

Patients presenting with sudden hearing loss, tinnitus, or dizziness.

Billing Considerations

Ensure clear documentation of the transient nature and any associated neurological symptoms.

Neurology

Documentation Requirements

Comprehensive neurological assessments, including imaging and vascular evaluations.

Common Clinical Scenarios

Patients with TIAs presenting with auditory symptoms.

Billing Considerations

Document any vascular risk factors and neurological findings that correlate with auditory symptoms.

Coding Guidelines

Inclusion Criteria

Use H93.013 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant history of TIAs or vascular conditions

Exclusion Criteria

Do NOT use H93.013 When
  • Exclude conditions that do not meet the criteria for transient ischemic deafness

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when evaluating a patient with suspected transient ischemic deafness.

Documentation Requirements

Document the results of audiometric testing and any relevant patient history.

Specialty Considerations

Otolaryngologists should ensure thorough documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of transient ischemic deafness, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the epidemiology of the condition and enhances clinical management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of transient ischemic deafness, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the epidemiology of the condition and enhances clinical management.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding the epidemiology of the condition and enhances clinical management.

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 primary cause of transient ischemic deafness?

Transient ischemic deafness is primarily caused by temporary ischemic attacks affecting the auditory pathways, often due to vascular insufficiency.

How can transient ischemic deafness be differentiated from permanent hearing loss?

Transient ischemic deafness is characterized by reversible hearing loss, typically resolving within a short period, whereas permanent hearing loss does not improve.