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ICD-10 Guide
ICD-10 CodesH94.8

H94.8

Billable

Other specified disorders of ear in diseases classified elsewhere

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

Code Description

ICD-10 H94.8 is a billable code used to indicate a diagnosis of other specified disorders of ear in diseases classified elsewhere.

Key Diagnostic Point:

H94.8 encompasses a variety of ear disorders that are not classified under specific categories but are associated with other diseases. This code is often used when patients present with symptoms such as tinnitus, hearing loss, or balance issues that are secondary to underlying conditions like systemic diseases, infections, or trauma. Clinical presentations may include abnormal ear function, pain, or discomfort, and may require comprehensive evaluation through audiometric testing, imaging studies, or vestibular assessments. Management strategies can vary widely, from medical treatment of the underlying condition to surgical interventions, such as tympanoplasty or mastoidectomy, depending on the severity and nature of the disorder. Accurate coding requires a thorough understanding of the patient's medical history and the relationship between the ear disorder and the primary disease process.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions leading to ear disorders
  • Need for comprehensive documentation of associated diseases
  • Potential for overlapping symptoms with other ear codes
  • Variability in clinical presentation and management

Audit Risk Factors

  • Inadequate documentation linking ear disorders to primary diseases
  • Misuse of the code for unspecified ear conditions
  • Failure to document the clinical rationale for the diagnosis
  • Inconsistent coding across different encounters

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear symptoms, diagnostic tests performed, and treatment plans.

Common Clinical Scenarios

Patients with chronic otitis media, vestibular disorders, or post-surgical complications.

Billing Considerations

Ensure clear linkage between ear disorders and underlying systemic diseases.

Audiology

Documentation Requirements

Audiometric evaluations, patient history, and treatment recommendations.

Common Clinical Scenarios

Patients presenting with hearing loss or tinnitus related to systemic conditions.

Billing Considerations

Document the relationship between audiological findings and the primary diagnosis.

Coding Guidelines

Inclusion Criteria

Use H94.8 When
  • According to ICD
  • 10 guidelines, H94
  • 8 should be used when the ear disorder is specifically linked to another disease
  • Coders must ensure that the primary diagnosis is clearly documented and that the ear disorder is a recognized complication or manifestation of that condition

Exclusion Criteria

Do NOT use H94.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

Used when cerumen impaction is contributing to hearing loss.

Documentation Requirements

Document the presence of cerumen impaction and its impact on hearing.

Specialty Considerations

Otolaryngologists should ensure clear documentation of the relationship between cerumen removal and ear disorders.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ear disorders, including those related to other diseases. H94.8 provides a mechanism to capture complex cases that may have previously been coded as unspecified, improving data accuracy and clinical understanding.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear disorders, including those related to other diseases. H94.8 provides a mechanism to capture complex cases that may have previously been coded as unspecified, improving data accuracy and clinical understanding.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear disorders, including those related to other diseases. H94.8 provides a mechanism to capture complex cases that may have previously been coded as unspecified, improving data accuracy and clinical understanding.

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 H94.8?

H94.8 should be used when the ear disorder is specified as being related to another disease process, and there is clear documentation linking the two.