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ICD-10 Guide
ICD-10 CodesH93.293

H93.293

Billable

Other abnormal auditory perceptions, bilateral

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

Code Description

ICD-10 H93.293 is a billable code used to indicate a diagnosis of other abnormal auditory perceptions, bilateral.

Key Diagnostic Point:

H93.293 refers to a condition characterized by abnormal auditory perceptions occurring bilaterally, which may include symptoms such as tinnitus, auditory hallucinations, or other non-specific auditory disturbances. These perceptions can arise from various underlying conditions affecting the auditory system, including otitis media, sensorineural hearing loss, or vestibular disorders. Patients may report sensations of sound that are not present in the environment, leading to significant distress and impairment in daily functioning. The diagnosis requires a thorough clinical evaluation, including audiometric testing and possibly imaging studies, to rule out structural abnormalities or other pathologies. Management may involve addressing the underlying cause, providing auditory rehabilitation, or utilizing sound therapy to mitigate symptoms. Accurate coding is essential for appropriate treatment and reimbursement, necessitating detailed documentation of the patient's history, clinical findings, and any interventions performed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can cause abnormal auditory perceptions
  • Need for comprehensive diagnostic evaluation to determine the cause
  • Potential overlap with other auditory disorders, complicating diagnosis
  • Variability in patient presentation and symptom severity

Audit Risk Factors

  • Inadequate documentation of the patient's auditory symptoms
  • Failure to specify the bilateral nature of the condition
  • Lack of supporting diagnostic tests in the medical record
  • Misclassification of the condition due to overlapping symptoms with other auditory disorders

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of auditory symptoms, results of audiometric tests, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with tinnitus, hearing loss, or auditory hallucinations requiring evaluation.

Billing Considerations

Ensure that all relevant auditory tests are documented to support the diagnosis and coding.

Neurology

Documentation Requirements

Neurological examination findings, history of neurological symptoms, and any relevant imaging results.

Common Clinical Scenarios

Patients with abnormal auditory perceptions associated with neurological conditions such as multiple sclerosis or migraines.

Billing Considerations

Document any neurological assessments that may correlate with auditory symptoms.

Coding Guidelines

Inclusion Criteria

Use H93.293 When
  • According to ICD
  • 10 guidelines, H93
  • 293 should be used when the auditory perception is abnormal and bilateral, and when no specific underlying condition is identified
  • It is important to document the nature of the auditory perception and any associated symptoms to support the use of this code

Exclusion Criteria

Do NOT use H93.293 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 evaluating a patient with abnormal auditory perceptions to assess hearing function.

Documentation Requirements

Audiometric test results, patient history, and any relevant symptoms.

Specialty Considerations

Otolaryngologists should ensure that all findings are clearly documented to support the use of this code.

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, enabling better tracking of prevalence and treatment outcomes. H93.293 provides a distinct code for bilateral abnormal auditory perceptions, improving the granularity of data collected for research and clinical purposes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory conditions, enabling better tracking of prevalence and treatment outcomes. H93.293 provides a distinct code for bilateral abnormal auditory perceptions, improving the granularity of data collected for research and clinical purposes.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of bilateral abnormal auditory perceptions?

Common causes include otitis media, vestibular disorders, and neurological conditions such as multiple sclerosis. Comprehensive evaluation is necessary to determine the underlying cause.