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ICD-10 Guide
ICD-10 CodesH93.13

H93.13

Billable

Tinnitus, bilateral

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

Code Description

ICD-10 H93.13 is a billable code used to indicate a diagnosis of tinnitus, bilateral.

Key Diagnostic Point:

Bilateral tinnitus is characterized by the perception of sound in both ears without an external source. It can manifest as ringing, buzzing, hissing, or other sounds, and may vary in intensity and duration. The condition can be associated with various underlying issues, including age-related hearing loss, exposure to loud noises, ear infections, and vestibular disorders. Patients may experience significant distress, impacting their quality of life and leading to difficulties in concentration and sleep disturbances. Diagnosis typically involves a thorough patient history, audiometric testing, and possibly imaging studies to rule out other conditions. Management may include sound therapy, cognitive behavioral therapy, and addressing any underlying conditions. In some cases, referral to an audiologist or otolaryngologist may be necessary for specialized care. Understanding the multifactorial nature of tinnitus is crucial for effective treatment and patient education.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and underlying causes
  • Need for comprehensive documentation to support diagnosis
  • Potential overlap with other auditory disorders
  • Management may involve multiple specialties

Audit Risk Factors

  • Inadequate documentation of patient history and symptoms
  • Failure to document the impact of tinnitus on daily life
  • Lack of supporting audiometric test results
  • Misclassification of tinnitus type (e.g., subjective vs. objective)

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed patient history, audiometric test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with tinnitus following noise exposure or ear infections.

Billing Considerations

Ensure documentation reflects the bilateral nature of tinnitus and any associated conditions.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient-reported outcome measures.

Common Clinical Scenarios

Assessment of tinnitus severity and its impact on hearing function.

Billing Considerations

Document the specific characteristics of tinnitus and any therapeutic interventions provided.

Coding Guidelines

Inclusion Criteria

Use H93.13 When
  • According to ICD
  • 10 guidelines, H93
  • 13 should be used when bilateral tinnitus is confirmed
  • It is essential to document the duration, severity, and impact on the patient's life

Exclusion Criteria

Do NOT use H93.13 When
  • Exclusion criteria include cases where tinnitus is secondary to a specific condition that has its own code

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 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, improving the ability to capture the complexity of the condition and its management. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tinnitus, improving the ability to capture the complexity of the condition and its management. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of tinnitus, improving the ability to capture the complexity of the condition and its management. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 unilateral and bilateral tinnitus?

Unilateral tinnitus affects one ear, while bilateral tinnitus affects both ears. The coding and management may differ based on the presentation and underlying causes.