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v1.0.0
ICD-10 Guide
ICD-10 CodesH93.212

H93.212

Billable

Auditory recruitment, left ear

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

Code Description

ICD-10 H93.212 is a billable code used to indicate a diagnosis of auditory recruitment, left ear.

Key Diagnostic Point:

Auditory recruitment is a phenomenon often associated with sensorineural hearing loss, characterized by an abnormal increase in perceived loudness of sounds as they approach a certain intensity level. This condition can significantly affect communication and quality of life. In the left ear, auditory recruitment may manifest as difficulty in understanding speech, particularly in noisy environments, and can lead to fatigue and frustration during social interactions. Patients may report that sounds become uncomfortably loud at certain volumes, while softer sounds remain inaudible. The condition is typically diagnosed through audiometric testing, which reveals a steeply sloping audiogram indicative of recruitment. Management may include hearing aids or cochlear implants, which can help mitigate the effects of recruitment by amplifying sounds in a way that is more comfortable for the patient. Understanding auditory recruitment is crucial for audiologists and otolaryngologists in developing effective treatment plans and improving patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of auditory physiology and pathology.
  • Differentiation from other types of hearing loss.
  • Potential overlap with other auditory disorders.
  • Need for precise audiometric documentation.

Audit Risk Factors

  • Inadequate documentation of audiometric findings.
  • Failure to specify laterality (left vs. right).
  • Misclassification of recruitment as other hearing disorders.
  • Lack of clear treatment plans in medical records.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric results, patient history, and treatment plans.

Common Clinical Scenarios

Patients presenting with sudden hearing loss, difficulty in noisy environments, or complaints of loudness discomfort.

Billing Considerations

Ensure clear documentation of the patient's subjective experience and objective test results.

Audiology

Documentation Requirements

Comprehensive audiological evaluations, including pure-tone thresholds and speech recognition scores.

Common Clinical Scenarios

Assessment of patients with suspected auditory recruitment during hearing evaluations.

Billing Considerations

Document the specific nature of recruitment and its impact on the patient's daily life.

Coding Guidelines

Inclusion Criteria

Use H93.212 When
  • According to ICD
  • 10 guidelines, H93
  • 212 should be used when auditory recruitment is specifically identified in the left ear
  • It is important to document the clinical findings that support this diagnosis, including audiometric data and patient
  • reported outcomes

Exclusion Criteria

Do NOT use H93.212 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used during the evaluation of auditory recruitment.

Documentation Requirements

Complete audiometric results and patient history.

Specialty Considerations

Audiologists should ensure thorough documentation of findings related to recruitment.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including auditory recruitment, which enhances the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including auditory recruitment, which enhances the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Audiology

Coding & Billing References

  • •
    American Academy of Audiology

Frequently Asked Questions

What is auditory recruitment?

Auditory recruitment is a condition where sounds become disproportionately loud as they approach a certain intensity level, often associated with sensorineural hearing loss.

How is auditory recruitment diagnosed?

It is diagnosed through audiometric testing that reveals a steeply sloping audiogram and patient-reported experiences of loudness discomfort.