ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH93.239

H93.239

Billable

Hyperacusis, unspecified ear

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

Code Description

ICD-10 H93.239 is a billable code used to indicate a diagnosis of hyperacusis, unspecified ear.

Key Diagnostic Point:

Hyperacusis is a condition characterized by an increased sensitivity to normal environmental sounds, which can lead to discomfort or pain. It is often associated with various auditory disorders, including hearing loss, tinnitus, and certain neurological conditions. Patients with hyperacusis may experience significant distress in everyday situations, where sounds that are typically tolerable become overwhelming. The condition can arise from damage to the auditory system, particularly the cochlea or central auditory pathways, and may be exacerbated by psychological factors such as anxiety or depression. Diagnosis typically involves a thorough audiological evaluation, including pure-tone audiometry and sound tolerance testing, to assess the degree of sound sensitivity. Management strategies may include sound therapy, counseling, and the use of hearing protection in certain environments. Understanding the underlying cause of hyperacusis is crucial for effective treatment, as it may be linked to other ear conditions such as otitis media or vestibular disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptom severity
  • Overlap with other auditory disorders like tinnitus and hearing loss
  • Need for comprehensive audiological assessments
  • Potential psychological components complicating diagnosis

Audit Risk Factors

  • Inadequate documentation of symptoms and severity
  • Failure to link hyperacusis to an underlying condition
  • Misuse of unspecified codes leading to potential denials
  • Lack of comprehensive audiological evaluation records

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiological assessments, patient history, and treatment plans.

Common Clinical Scenarios

Patients presenting with sensitivity to sound following ear infections or trauma.

Billing Considerations

Ensure documentation reflects the relationship between hyperacusis and any underlying otological conditions.

Audiology

Documentation Requirements

Results of audiometric tests, patient-reported outcomes, and treatment responses.

Common Clinical Scenarios

Assessment of sound tolerance in patients with a history of noise exposure or ototoxic medication use.

Billing Considerations

Document the specific sounds that trigger hyperacusis and the impact on daily living.

Coding Guidelines

Inclusion Criteria

Use H93.239 When
  • According to ICD
  • 10 guidelines, hyperacusis is classified under 'Other disorders of ear' and should be coded based on the specific ear affected if known
  • Documentation must support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use H93.239 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 assessing a patient with hyperacusis to determine sound tolerance levels.

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 hyperacusis, enabling better tracking of the condition and its management. This specificity aids in research and improves patient care by allowing for tailored treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hyperacusis, enabling better tracking of the condition and its management. This specificity aids in research and improves patient care by allowing for tailored treatment plans.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery
  • •
    American Speech-Language-Hearing Association

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery
  • •
    American Speech-Language-Hearing Association

Frequently Asked Questions

What is hyperacusis?

Hyperacusis is a condition characterized by an abnormal sensitivity to everyday sounds, which can cause discomfort or pain.

How is hyperacusis diagnosed?

Diagnosis typically involves a detailed patient history, audiometric testing, and assessments of sound tolerance.

What are common treatments for hyperacusis?

Treatment options may include sound therapy, counseling, and the use of hearing protection in certain environments.