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ICD-10 Guide
ICD-10 CodesH93.093

H93.093

Billable

Unspecified degenerative and vascular disorders of ear, bilateral

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

Code Description

ICD-10 H93.093 is a billable code used to indicate a diagnosis of unspecified degenerative and vascular disorders of ear, bilateral.

Key Diagnostic Point:

H93.093 refers to unspecified degenerative and vascular disorders affecting both ears. These conditions can manifest as a result of age-related changes, vascular insufficiencies, or other degenerative processes that impact the auditory and vestibular systems. Patients may present with symptoms such as bilateral hearing loss, tinnitus, or balance disturbances. The clinical evaluation often includes audiometric testing, imaging studies, and a thorough history to rule out other causes of ear disorders. Management may involve hearing aids, vestibular rehabilitation, or surgical interventions depending on the severity and specific nature of the disorder. Accurate diagnosis is crucial, as it guides treatment options and helps in monitoring disease progression. Given the broad nature of this code, it is essential for coders to ensure that the documentation supports the diagnosis and reflects the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Broad range of potential underlying conditions
  • Variability in clinical presentation
  • Need for comprehensive documentation to support diagnosis
  • Potential overlap with other ear disorders

Audit Risk Factors

  • Insufficient documentation of clinical findings
  • Lack of clear diagnostic criteria in the medical record
  • Inconsistent coding of bilateral versus unilateral conditions
  • Failure to document the rationale for the diagnosis

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric evaluations, imaging studies, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with progressive hearing loss, tinnitus, or balance issues.

Billing Considerations

Ensure that all symptoms and their impact on daily living are documented to support the diagnosis.

Audiology

Documentation Requirements

Comprehensive audiological assessments and recommendations for hearing aids or other interventions.

Common Clinical Scenarios

Patients undergoing hearing evaluations for suspected degenerative ear conditions.

Billing Considerations

Document the results of audiometric tests and any referrals made for further evaluation.

Coding Guidelines

Inclusion Criteria

Use H93.093 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • This code should be used when the specific degenerative or vascular disorder affecting the ear is not clearly defined

Exclusion Criteria

Do NOT use H93.093 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used for patients undergoing evaluation for hearing loss related to H93.093.

Documentation Requirements

Document the results of the audiometric evaluation and any recommendations made.

Specialty Considerations

Otolaryngologists and audiologists 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 ear disorders, including the ability to capture bilateral conditions like H93.093. This specificity aids in better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear disorders, including the ability to capture bilateral conditions like H93.093. This specificity aids in better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear disorders, including the ability to capture bilateral conditions like H93.093. This specificity aids in better tracking of disease prevalence and treatment outcomes.

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 should be documented to support the use of H93.093?

Documentation should include a detailed clinical history, results of audiometric tests, imaging studies if performed, and a clear treatment plan that reflects the bilateral nature of the disorder.