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ICD-10 Guide
ICD-10 CodesH94.02

H94.02

Billable

Acoustic neuritis in infectious and parasitic diseases classified elsewhere, left ear

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

Code Description

ICD-10 H94.02 is a billable code used to indicate a diagnosis of acoustic neuritis in infectious and parasitic diseases classified elsewhere, left ear.

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. In the context of the left ear, this condition may present with symptoms such as unilateral hearing loss, tinnitus, and balance disturbances. The underlying infectious agents can include viral infections (e.g., herpes zoster), bacterial infections, or parasitic infestations that affect the auditory pathways. Diagnosis typically involves a thorough clinical evaluation, audiometric testing, and imaging studies such as MRI to rule out other causes of auditory dysfunction. Management may include corticosteroids to reduce inflammation, antiviral medications if a viral etiology is suspected, and supportive therapies for hearing and balance rehabilitation. Accurate coding is essential for appropriate treatment and reimbursement, particularly in cases where the underlying infectious disease is documented elsewhere in the medical record.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of infectious diseases that can cause acoustic neuritis.
  • Differentiation from other types of hearing loss and vestibular disorders.
  • Need for precise documentation linking the infectious disease to the neuritis.
  • Potential for multiple codes if the underlying condition is also coded.

Audit Risk Factors

  • Inadequate documentation of the infectious disease.
  • Failure to specify the laterality of the condition.
  • Misclassification of the type of neuritis.
  • Lack of supporting diagnostic tests in the medical record.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, audiometric test results, and imaging studies.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of the infectious etiology and its relation to the neuritis.

Infectious Disease

Documentation Requirements

Comprehensive documentation of the infectious disease process and its complications.

Common Clinical Scenarios

Patients with known viral infections presenting with auditory symptoms.

Billing Considerations

Linking the infectious disease to the acoustic neuritis is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use H94.02 When
  • According to ICD
  • 10 guidelines, H94
  • 02 should be used when the acoustic neuritis is specifically due to an infectious or parasitic disease classified elsewhere
  • Coders must ensure that the underlying condition is documented and coded appropriately

Exclusion Criteria

Do NOT use H94.02 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 with suspected acoustic neuritis.

Documentation Requirements

Audiometric test results must be documented in the medical record.

Specialty Considerations

Otolaryngologists should ensure thorough documentation of hearing assessments.

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. This specificity aids in better tracking of disease prevalence and outcomes.

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. This specificity aids in better tracking of disease prevalence and outcomes.

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 is the primary cause of acoustic neuritis?

Acoustic neuritis is primarily caused by infections, including viral and bacterial agents, which lead to inflammation of the vestibulocochlear nerve.

How is acoustic neuritis diagnosed?

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

What are the treatment options for acoustic neuritis?

Treatment may include corticosteroids to reduce inflammation, antiviral medications if a viral cause is identified, and rehabilitation for hearing and balance.

Is acoustic neuritis a common condition?

While not extremely common, acoustic neuritis can occur as a complication of various infectious diseases, making awareness and accurate coding important.