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ICD-10 Guide
ICD-10 CodesH93.221

H93.221

Billable

Diplacusis, right ear

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

Code Description

ICD-10 H93.221 is a billable code used to indicate a diagnosis of diplacusis, right ear.

Key Diagnostic Point:

Diplacusis is a type of auditory perception disorder characterized by the perception of a single sound as two distinct pitches or frequencies. This condition can occur in one ear (unilateral) or both ears (bilateral), but in this case, it specifically affects the right ear. Patients with diplacusis may experience difficulty in distinguishing sounds, which can lead to challenges in communication and auditory processing. The condition is often associated with underlying auditory system dysfunction, which may arise from various etiologies, including acoustic trauma, otitis media, or age-related hearing loss. Clinical presentation may include complaints of distorted sound perception, difficulty in music appreciation, and challenges in understanding speech in noisy environments. Diagnosis typically involves audiometric testing, including pure-tone audiometry and speech discrimination tests, to assess the nature and extent of hearing impairment. Management may include hearing aids, auditory rehabilitation, or addressing underlying conditions such as otitis media. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the condition to one ear
  • Potential overlap with other hearing disorders
  • Need for precise audiometric documentation
  • Variability in patient presentation

Audit Risk Factors

  • Inadequate documentation of audiometric findings
  • Failure to specify the affected ear
  • Misclassification with other hearing disorders
  • Lack of clear treatment plans in medical records

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of the affected ear and any associated conditions.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient-reported outcomes.

Common Clinical Scenarios

Patients undergoing hearing assessments for various auditory disorders.

Billing Considerations

Document specific audiometric thresholds and speech discrimination scores.

Coding Guidelines

Inclusion Criteria

Use H93.221 When
  • According to ICD
  • 10 coding guidelines, H93
  • 221 should be used when the clinical documentation specifies diplacusis affecting the right ear
  • It is important to ensure that the diagnosis is supported by audiometric testing and that other potential causes of hearing distortion are ruled out

Exclusion Criteria

Do NOT use H93.221 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 a patient presenting with diplacusis.

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 disorders, including diplacusis, 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 disorders, including diplacusis, which enhances the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

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

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 diplacusis?

Diplacusis is a hearing disorder where a single sound is perceived as two different pitches, often affecting communication and auditory processing.

How is diplacusis diagnosed?

Diagnosis typically involves audiometric testing, including pure-tone audiometry and speech discrimination tests, to assess the nature and extent of hearing impairment.

What are the treatment options for diplacusis?

Management may include hearing aids, auditory rehabilitation, or addressing underlying conditions such as otitis media.