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ICD-10 Guide
ICD-10 CodesH93.249

H93.249

Billable

Temporary auditory threshold shift, unspecified ear

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

Code Description

ICD-10 H93.249 is a billable code used to indicate a diagnosis of temporary auditory threshold shift, unspecified ear.

Key Diagnostic Point:

Temporary auditory threshold shift refers to a transient change in hearing sensitivity, typically resulting from exposure to loud noise or other environmental factors. This condition is characterized by a temporary increase in auditory threshold, meaning that sounds must be louder than usual for the individual to hear them. The shift can occur in one or both ears and is often reversible, with hearing returning to baseline levels after a period of rest from the offending stimulus. Clinical presentation may include muffled hearing, tinnitus, or a sensation of fullness in the ear. Diagnosis is primarily based on audiometric testing, which reveals a temporary elevation in hearing thresholds. Management typically involves avoiding further exposure to loud sounds and monitoring for recovery. In some cases, patients may benefit from counseling on hearing protection and noise exposure limits. Accurate coding is essential for proper reimbursement and tracking of auditory health issues, particularly in occupational health settings where noise exposure is prevalent.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise audiometric testing results
  • Differentiation from permanent threshold shifts and other hearing disorders
  • Potential overlap with other ear-related conditions

Audit Risk Factors

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

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 loss after exposure to loud environments, such as concerts or industrial settings.

Billing Considerations

Ensure clear documentation of the temporary nature of the auditory shift and any interventions provided.

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 timeline of symptoms and recovery to support the diagnosis of a temporary shift.

Coding Guidelines

Inclusion Criteria

Use H93.249 When
  • According to ICD
  • 10 coding guidelines, H93
  • 249 should be used when the auditory threshold shift is temporary and unspecified
  • Coders must ensure that the documentation supports the diagnosis and that no other specific conditions are present that would warrant a different code

Exclusion Criteria

Do NOT use H93.249 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation

Clinical Scenario

Used when assessing a patient with suspected temporary auditory threshold shift.

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 precise coding of auditory conditions, including temporary auditory threshold shifts. This specificity aids in better tracking of hearing health trends and improves reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of auditory conditions, including temporary auditory threshold shifts. This specificity aids in better tracking of hearing health trends and improves reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 often caused by noise exposure, while permanent shifts indicate lasting damage to the auditory system.