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ICD-10 Guide
ICD-10 CodesH93.3

H93.3

Billable

Disorders of acoustic nerve

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

Code Description

ICD-10 H93.3 is a billable code used to indicate a diagnosis of disorders of acoustic nerve.

Key Diagnostic Point:

Disorders of the acoustic nerve, also known as the vestibulocochlear nerve (cranial nerve VIII), can lead to various auditory and vestibular dysfunctions. These disorders may manifest as hearing loss, tinnitus, balance issues, or a combination of these symptoms. Common causes include acoustic neuroma, vestibular schwannoma, and other lesions affecting the nerve. Patients may present with unilateral or bilateral hearing loss, vertigo, and imbalance. Diagnostic criteria often involve audiometric testing, imaging studies such as MRI, and vestibular function tests. Management may include surgical intervention, such as tumor resection, or conservative measures like hearing aids and vestibular rehabilitation. Accurate coding requires a thorough understanding of the clinical presentation and the underlying etiology of the acoustic nerve disorder.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (e.g., tumors, infections)
  • Overlap with other auditory and vestibular disorders
  • Need for precise documentation of symptoms and diagnostic tests
  • Potential for multiple codes to describe related conditions

Audit Risk Factors

  • Inadequate documentation of symptoms and diagnostic tests
  • Failure to specify the type of acoustic nerve disorder
  • Incorrect linkage of procedures to diagnosis
  • Misuse of related codes that may lead to upcoding or downcoding

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric evaluations, imaging reports, and treatment plans.

Common Clinical Scenarios

Patients presenting with unilateral hearing loss, tinnitus, or balance issues.

Billing Considerations

Ensure clear documentation of the type of acoustic nerve disorder and any surgical interventions performed.

Neurology

Documentation Requirements

Neurological assessments, imaging studies, and differential diagnoses.

Common Clinical Scenarios

Patients with vestibular dysfunction or neurological symptoms related to acoustic nerve disorders.

Billing Considerations

Document neurological evaluations thoroughly to support the diagnosis and any associated conditions.

Coding Guidelines

Inclusion Criteria

Use H93.3 When
  • Follow official coding guidelines for the use of H93
  • 3, ensuring that documentation supports the diagnosis
  • Include any relevant imaging or audiometric findings

Exclusion Criteria

Do NOT use H93.3 When
  • Exclude conditions that are not directly related to acoustic nerve disorders

Related ICD-10 Codes

Related CPT Codes

69990CPT Code

Surgical treatment of acoustic neuroma

Clinical Scenario

Used when a patient undergoes surgery for an acoustic neuroma.

Documentation Requirements

Surgical notes, pre-operative assessments, and post-operative follow-ups.

Specialty Considerations

Otolaryngology specialists should ensure detailed documentation of the surgical procedure and outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of acoustic nerve disorders, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of acoustic nerve disorders, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of acoustic nerve disorders, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

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 symptoms associated with disorders of the acoustic nerve?

Common symptoms include hearing loss, tinnitus, vertigo, and balance disturbances. The specific symptoms can vary based on the underlying cause of the disorder.