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v1.0.0
ICD-10 Guide
ICD-10 CodesH93.8

H93.8

Billable

Other specified disorders of ear

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

Code Description

ICD-10 H93.8 is a billable code used to indicate a diagnosis of other specified disorders of ear.

Key Diagnostic Point:

H93.8 encompasses a variety of ear disorders that do not fall under more specific categories. This includes conditions such as eustachian tube dysfunction, barotrauma, and other atypical presentations of ear diseases. Patients may present with symptoms such as hearing loss, tinnitus, or balance issues, which can complicate diagnosis. Diagnostic criteria often involve audiometric testing, imaging studies, and clinical evaluation to rule out more common ear disorders like otitis media or external otitis. Management may include medical therapy, surgical interventions, or referral to specialists such as otolaryngologists. The complexity of these disorders often requires a multidisciplinary approach to ensure comprehensive care and accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can be coded under this category
  • Need for precise documentation to differentiate from more specific codes
  • Potential for overlapping symptoms with other ear disorders
  • Variability in treatment approaches based on the specific disorder

Audit Risk Factors

  • Inadequate documentation of the specific disorder being treated
  • Misuse of H93.8 when a more specific code is applicable
  • Failure to document the clinical rationale for the chosen treatment
  • Inconsistent coding across different encounters for the same patient

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed clinical notes including history, physical examination findings, and diagnostic test results.

Common Clinical Scenarios

Patients presenting with unexplained hearing loss, tinnitus, or balance disorders.

Billing Considerations

Ensure that all relevant diagnostic tests are documented to support the use of H93.8.

Audiology

Documentation Requirements

Audiometric test results, patient history, and any referrals made.

Common Clinical Scenarios

Assessment of patients with hearing loss or tinnitus without clear etiology.

Billing Considerations

Document the audiological findings thoroughly to justify the diagnosis.

Coding Guidelines

Inclusion Criteria

Use H93.8 When
  • According to ICD
  • 10 guidelines, H93
  • 8 should be used when the specific disorder of the ear is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that no more specific code is applicable

Exclusion Criteria

Do NOT use H93.8 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 hearing loss coded as H93.8.

Documentation Requirements

Audiometric test results and clinical notes supporting the diagnosis.

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 detailed coding of ear disorders, enabling better tracking of conditions like those classified under H93.8. This has improved the ability to analyze treatment outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of ear disorders, enabling better tracking of conditions like those classified under H93.8. This has improved the ability to analyze treatment outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of ear disorders, enabling better tracking of conditions like those classified under H93.8. This has improved the ability to analyze treatment outcomes and resource utilization.

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

When should I use H93.8 instead of a more specific code?

H93.8 should be used when the specific disorder of the ear is not classified elsewhere and when documentation supports the diagnosis without a more specific code being applicable.