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ICD-10 Guide
ICD-10 CodesH93.219

H93.219

Billable

Auditory recruitment, unspecified ear

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

Code Description

ICD-10 H93.219 is a billable code used to indicate a diagnosis of auditory recruitment, unspecified ear.

Key Diagnostic Point:

Auditory recruitment refers to an abnormal increase in perceived loudness of sounds as they become louder, often associated with sensorineural hearing loss. This phenomenon can occur in various auditory disorders, where patients may experience difficulty in understanding speech, particularly in noisy environments. The condition is characterized by a disproportionate response to sound intensity, leading to discomfort or distortion of sound perception. Patients may report that soft sounds are inaudible, while louder sounds are uncomfortably loud. The unspecified ear designation indicates that the condition has not been localized to a specific ear, which can complicate diagnosis and management. Auditory recruitment is often evaluated through audiometric testing, including pure-tone audiometry and speech recognition tests. Management may involve hearing aids, auditory training, or other rehabilitative strategies to improve communication abilities. Understanding the underlying causes, such as otitis media, vestibular disorders, or other auditory pathologies, is crucial for effective treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive audiometric evaluation
  • Potential overlap with other auditory disorders
  • Documentation of hearing loss type and severity

Audit Risk Factors

  • Inadequate documentation of audiometric findings
  • Failure to specify ear involvement
  • Misclassification of hearing loss type
  • Lack of correlation between diagnosis and treatment

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric test results, patient history, and symptom description.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of ear involvement and any related conditions.

Audiology

Documentation Requirements

Comprehensive audiological assessments and patient-reported outcomes.

Common Clinical Scenarios

Patients undergoing hearing evaluations for recruitment symptoms.

Billing Considerations

Document the impact of auditory recruitment on daily functioning.

Coding Guidelines

Inclusion Criteria

Use H93.219 When
  • According to ICD
  • 10 coding guidelines, H93
  • 219 should be used when auditory recruitment is diagnosed without specification of ear involvement
  • It is important to document the clinical rationale for using this code, including any relevant audiometric data

Exclusion Criteria

Do NOT use H93.219 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when evaluating a patient for auditory recruitment.

Documentation Requirements

Audiometric test results and patient history.

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 auditory conditions, including auditory recruitment. This specificity aids in better tracking of patient outcomes and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including auditory recruitment. This specificity aids in better tracking of patient outcomes and treatment efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including auditory recruitment. This specificity aids in better tracking of patient outcomes and treatment efficacy.

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 auditory recruitment?

Auditory recruitment is a phenomenon where patients experience an abnormal increase in loudness perception, often associated with sensorineural hearing loss.

How is auditory recruitment diagnosed?

Diagnosis typically involves audiometric testing that shows disproportionate loudness perception, along with a thorough patient history.

What are the treatment options for auditory recruitment?

Management may include hearing aids, auditory training, and other rehabilitative strategies tailored to the patient's needs.