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ICD-10 Guide
ICD-10 CodesH94.0

H94.0

Billable

Acoustic neuritis in infectious and parasitic diseases classified elsewhere

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

Code Description

ICD-10 H94.0 is a billable code used to indicate a diagnosis of acoustic neuritis in infectious and parasitic diseases classified elsewhere.

Key Diagnostic Point:

Acoustic neuritis refers to inflammation of the vestibulocochlear nerve (cranial nerve VIII), which can occur as a complication of various infectious and parasitic diseases. This condition is characterized by symptoms such as hearing loss, tinnitus, and balance disturbances. The underlying infectious agents may include viral infections like herpes zoster or bacterial infections that affect the inner ear or central nervous system. Clinically, patients may present with sudden onset hearing loss, vertigo, and auditory hallucinations. Diagnosis typically involves audiometric testing, imaging studies such as MRI, and a thorough review of the patient's medical history to identify any infectious etiology. Management may include antiviral or antibiotic therapy, corticosteroids to reduce inflammation, and supportive care for balance issues. Given its association with other infectious diseases, accurate coding is crucial to reflect the underlying cause and ensure appropriate treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of infectious diseases and their impact on the auditory system.
  • Differentiation from other types of hearing loss and vestibular disorders.
  • Need for comprehensive documentation of the underlying infectious condition.
  • Potential for multiple codes to be applicable based on the patient's presentation.

Audit Risk Factors

  • Inadequate documentation of the infectious disease leading to neuritis.
  • Failure to link the acoustic neuritis to the primary diagnosis.
  • Misclassification of the type of hearing loss.
  • Lack of supporting diagnostic tests in the medical record.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of auditory symptoms, diagnostic imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with sudden hearing loss and vertigo following a viral infection.

Billing Considerations

Ensure that the infectious etiology is clearly documented to support the use of H94.0.

Infectious Disease

Documentation Requirements

Comprehensive documentation of the infectious disease process and its relation to auditory symptoms.

Common Clinical Scenarios

Patients with known viral infections presenting with auditory symptoms.

Billing Considerations

Collaboration with otolaryngology for accurate diagnosis and coding.

Coding Guidelines

Inclusion Criteria

Use H94.0 When
  • According to ICD
  • 10 guidelines, H94
  • 0 should be used when acoustic neuritis is specifically due to an infectious or parasitic disease classified elsewhere
  • Coders must ensure that the primary infectious condition is documented and coded appropriately

Exclusion Criteria

Do NOT use H94.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used to assess hearing loss in patients suspected of acoustic neuritis.

Documentation Requirements

Audiometric results must be documented in the medical record.

Specialty Considerations

Otolaryngologists should ensure thorough evaluation to support diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like acoustic neuritis, improving the accuracy of diagnoses and treatment plans. It emphasizes the need for detailed documentation of the underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like acoustic neuritis, improving the accuracy of diagnoses and treatment plans. It emphasizes the need for detailed documentation of the underlying causes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like acoustic neuritis, improving the accuracy of diagnoses and treatment plans. It emphasizes the need for detailed documentation of the underlying causes.

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 is the primary cause of acoustic neuritis?

Acoustic neuritis is primarily caused by viral or bacterial infections that lead to inflammation of the vestibulocochlear nerve.

How is acoustic neuritis diagnosed?

Diagnosis involves clinical evaluation, audiometric testing, and imaging studies to rule out other conditions.

What treatments are available for acoustic neuritis?

Treatment may include antiviral or antibiotic medications, corticosteroids, and supportive care for balance issues.