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ICD-10 Guide
ICD-10 CodesH93.243

H93.243

Billable

Temporary auditory threshold shift, bilateral

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

Code Description

ICD-10 H93.243 is a billable code used to indicate a diagnosis of temporary auditory threshold shift, bilateral.

Key Diagnostic Point:

Temporary auditory threshold shift, bilateral, refers to a reversible change in hearing sensitivity that occurs in both ears, typically following exposure to loud noise or ototoxic substances. This condition is characterized by a temporary increase in auditory thresholds, meaning that sounds must be louder than usual for the individual to hear them. Patients may experience symptoms such as muffled hearing, tinnitus, or a sensation of fullness in the ears. The shift is usually transient, resolving within hours to days after the exposure ceases. Diagnosis is often made through audiometric testing, which reveals elevated thresholds in both ears. Management primarily involves avoiding further exposure to loud noises and monitoring hearing recovery. In some cases, corticosteroids may be prescribed to reduce inflammation if there is concern for more permanent damage. Understanding the etiology and potential for recovery is crucial for patient education and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between temporary and permanent threshold shifts
  • Need for precise audiometric testing documentation
  • Potential overlap with other hearing loss codes
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to include audiometric test results
  • Misclassification of temporary vs. permanent shifts
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric test results, patient history of noise exposure, and symptom description.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant tests are documented to support the diagnosis of temporary auditory threshold shift.

Audiology

Documentation Requirements

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

Common Clinical Scenarios

Patients undergoing routine hearing assessments who report recent noise exposure.

Billing Considerations

Accurate recording of baseline hearing levels is essential for comparison.

Coding Guidelines

Inclusion Criteria

Use H93.243 When
  • According to ICD
  • 10 guidelines, H93
  • 243 should be used when there is clear documentation of a temporary auditory threshold shift affecting both ears
  • It is important to include the context of exposure and any relevant audiometric findings

Exclusion Criteria

Do NOT use H93.243 When
  • Exclusion criteria include permanent hearing loss or other underlying ear conditions

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when performing a full audiometric evaluation for a patient with suspected hearing loss.

Documentation Requirements

Complete audiometric test results and patient history.

Specialty Considerations

Otolaryngologists and audiologists should ensure all relevant findings are documented.

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 difference between temporary and permanent auditory threshold shifts?

Temporary auditory threshold shifts are reversible changes in hearing sensitivity that occur after exposure to loud sounds, while permanent shifts indicate lasting damage to the auditory system, often requiring different management and coding.