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ICD-10 Guide
ICD-10 CodesH93.25

H93.25

Billable

Central auditory processing disorder

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

Code Description

ICD-10 H93.25 is a billable code used to indicate a diagnosis of central auditory processing disorder.

Key Diagnostic Point:

Central auditory processing disorder (CAPD) is a condition that affects the brain's ability to process auditory information. Individuals with CAPD may have normal hearing ability but struggle to understand and interpret sounds, particularly in noisy environments. Symptoms can include difficulty following spoken instructions, problems with distinguishing similar sounds, and challenges in understanding conversations. CAPD is often diagnosed in children but can persist into adulthood. The condition may be associated with other disorders such as attention deficit hyperactivity disorder (ADHD) or language impairments. Diagnosis typically involves a comprehensive audiological evaluation, including tests that assess auditory discrimination, auditory memory, and the ability to process auditory information in the presence of competing stimuli. Management strategies may include auditory training, environmental modifications, and speech-language therapy to improve communication skills and coping strategies. Early intervention is crucial for better outcomes, as CAPD can significantly impact academic performance and social interactions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Overlap with other auditory disorders
  • Variability in clinical presentation
  • Need for comprehensive audiological testing
  • Potential co-morbid conditions

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to document co-morbid conditions
  • Lack of evidence for diagnostic testing
  • Misuse of related codes

Specialty Focus

Medical Specialties

Audiology

Documentation Requirements

Comprehensive audiological evaluations, including specific tests for auditory processing.

Common Clinical Scenarios

Assessment of children with learning difficulties or attention issues.

Billing Considerations

Ensure detailed documentation of test results and their implications for treatment.

Speech-Language Pathology

Documentation Requirements

Detailed reports on language processing and communication challenges.

Common Clinical Scenarios

Therapy sessions focusing on improving auditory processing and communication skills.

Billing Considerations

Document progress and response to therapy to support ongoing treatment.

Coding Guidelines

Inclusion Criteria

Use H93.25 When
  • According to ICD
  • 10 guidelines, H93
  • 25 should be used when a patient has a confirmed diagnosis of central auditory processing disorder
  • It is important to document the specific auditory processing deficits and their impact on the patient's daily life

Exclusion Criteria

Do NOT use H93.25 When
  • Exclusion criteria include other specified auditory disorders that may better explain the symptoms

Related ICD-10 Codes

Related CPT Codes

92506CPT Code

Diagnostic analysis of auditory processing

Clinical Scenario

Used during the evaluation of a patient suspected of having CAPD.

Documentation Requirements

Detailed report of auditory processing tests and results.

Specialty Considerations

Audiologists should ensure comprehensive testing is documented to support the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of auditory processing disorders, improving the ability to track and manage these conditions effectively. H93.25 provides a clear designation for CAPD, facilitating better clinical management and research opportunities.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory processing disorders, improving the ability to track and manage these conditions effectively. H93.25 provides a clear designation for CAPD, facilitating better clinical management and research opportunities.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of auditory processing disorders, improving the ability to track and manage these conditions effectively. H93.25 provides a clear designation for CAPD, facilitating better clinical management and research opportunities.

Resources

Clinical References

  • •
    American Speech-Language-Hearing Association (ASHA)

Coding & Billing References

  • •
    American Speech-Language-Hearing Association (ASHA)

Frequently Asked Questions

What is the primary treatment for central auditory processing disorder?

The primary treatment for CAPD often involves auditory training, speech-language therapy, and environmental modifications to improve communication skills and coping strategies.