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ICD-10 Guide
ICD-10 CodesH93.1

H93.1

Billable

Tinnitus

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

Code Description

ICD-10 H93.1 is a billable code used to indicate a diagnosis of tinnitus.

Key Diagnostic Point:

Tinnitus is the perception of sound when no external sound is present, often described as ringing, buzzing, hissing, or clicking in the ears. It can be a symptom of various underlying conditions affecting the auditory system, including age-related hearing loss, exposure to loud noises, ear infections, and certain medications. Tinnitus can be classified as subjective, where only the patient can hear the sound, or objective, where it can be detected by a clinician. The condition can significantly impact quality of life, leading to difficulties in concentration, sleep disturbances, and emotional distress. Diagnosis typically involves a thorough patient history, audiometric testing, and sometimes imaging studies to rule out other causes. Management strategies may include sound therapy, cognitive behavioral therapy, and in some cases, pharmacological interventions. Understanding the underlying cause is crucial for effective treatment and management of tinnitus.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes that can lead to tinnitus.
  • Differentiation between subjective and objective tinnitus.
  • Potential overlap with other auditory conditions like hearing loss.
  • Need for comprehensive documentation to support the diagnosis.

Audit Risk Factors

  • Inadequate documentation of the patient's history and symptoms.
  • Failure to specify the type of tinnitus (subjective vs. objective).
  • Misclassification of tinnitus as a primary diagnosis without supporting evidence.
  • Inconsistent coding of co-existing conditions like hearing loss.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric evaluations, patient history, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with tinnitus following noise exposure or ear infections.

Billing Considerations

Documentation should clearly outline the relationship between tinnitus and any underlying ear conditions.

Audiology

Documentation Requirements

Comprehensive audiological assessments and patient-reported outcomes.

Common Clinical Scenarios

Assessment of tinnitus severity and its impact on hearing function.

Billing Considerations

Focus on the patient's subjective experience and the need for sound therapy options.

Coding Guidelines

Inclusion Criteria

Use H93.1 When
  • According to ICD
  • 10 guidelines, H93
  • 1 should be used when tinnitus is the primary complaint
  • It is important to document any associated conditions, such as hearing loss or otitis media, to ensure accurate coding

Exclusion Criteria

Do NOT use H93.1 When
  • Exclusion criteria include conditions that are not primarily related to tinnitus

Related ICD-10 Codes

Related CPT Codes

92567CPT Code

Tympanometry

Clinical Scenario

Used to assess middle ear function in patients with tinnitus.

Documentation Requirements

Document the reason for the test and any findings.

Specialty Considerations

Otolaryngologists should ensure that the test results correlate with the tinnitus diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of tinnitus, enabling better tracking of the condition and its associated factors. This specificity aids in research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tinnitus, enabling better tracking of the condition and its associated factors. This specificity aids in research and treatment outcomes.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What is the difference between subjective and objective tinnitus?

Subjective tinnitus is perceived only by the patient, while objective tinnitus can be detected by a clinician during examination, often associated with vascular or muscular issues.