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ICD-10 Guide
ICD-10 CodesH93.24

H93.24

Billable

Temporary auditory threshold shift

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

Code Description

ICD-10 H93.24 is a billable code used to indicate a diagnosis of temporary auditory threshold shift.

Key Diagnostic Point:

Temporary auditory threshold shift refers to a reversible change in hearing sensitivity, typically resulting from exposure to loud noise or other transient factors affecting the auditory system. This condition is characterized by a temporary increase in auditory thresholds, which can lead to a temporary reduction in hearing acuity. Patients may experience symptoms such as muffled hearing, tinnitus, or a sensation of fullness in the ears. The condition is often assessed using audiometric testing, which measures the hearing thresholds at various frequencies. The shift is usually temporary, resolving within a few hours to days after the exposure or removal of the causative factor. It is important to differentiate this condition from permanent hearing loss, which may arise from prolonged exposure to loud noise or other underlying pathologies. Management typically involves avoiding further exposure to loud sounds and monitoring hearing levels. In some cases, patients may benefit from counseling on hearing protection and noise exposure reduction strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from permanent hearing loss
  • Need for precise audiometric testing results
  • Potential overlap with other auditory disorders
  • Documentation of exposure history

Audit Risk Factors

  • Inadequate documentation of audiometric testing
  • Failure to document exposure history
  • Misclassification of temporary vs. permanent conditions
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric test results, patient history of noise exposure, and clinical findings.

Common Clinical Scenarios

Patients presenting with hearing changes after exposure to loud environments, such as concerts or industrial settings.

Billing Considerations

Ensure that the documentation clearly states the temporary nature of the auditory threshold shift and any recommendations for hearing protection.

Audiology

Documentation Requirements

Comprehensive audiological evaluations, including pure-tone audiometry and tympanometry results.

Common Clinical Scenarios

Patients undergoing routine hearing assessments who report recent noise exposure.

Billing Considerations

Document the specific frequencies affected and the degree of threshold shift to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use H93.24 When
  • According to ICD
  • 10 guidelines, H93
  • 24 should be used when there is clear evidence of a temporary auditory threshold shift, supported by audiometric testing
  • It is important to document the patient's exposure history and any relevant clinical findings

Exclusion Criteria

Do NOT use H93.24 When
  • Exclusion criteria include conditions that result in permanent hearing loss

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation

Clinical Scenario

Used when assessing patients with suspected temporary auditory threshold shifts.

Documentation Requirements

Audiometric test results and patient history of noise exposure.

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 temporary auditory threshold shifts. This specificity aids in better tracking of hearing-related issues and improves the quality of care provided to patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including temporary auditory threshold shifts. This specificity aids in better tracking of hearing-related issues and improves the quality of care provided to patients.

Reimbursement & Billing Impact

reimbursement.

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 primary cause of temporary auditory threshold shift?

The primary cause is typically exposure to loud noise, which can temporarily affect the hair cells in the cochlea, leading to a reversible increase in hearing thresholds.

How long does a temporary auditory threshold shift last?

The shift usually resolves within a few hours to days after the exposure to loud noise or other causative factors.

What tests are used to diagnose a temporary auditory threshold shift?

Audiometric testing is the primary method used to diagnose this condition, measuring hearing thresholds at various frequencies.