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ICD-10 Guide
ICD-10 CodesP09.6

P09.6

Billable

Abnormal findings on neonatal screening for neonatal hearing loss

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P09.6 is a billable code used to indicate a diagnosis of abnormal findings on neonatal screening for neonatal hearing loss.

Key Diagnostic Point:

Abnormal findings on neonatal screening for neonatal hearing loss (P09.6) refer to the results of auditory screening tests conducted on newborns to identify potential hearing impairments. Early detection of hearing loss is crucial as it can significantly impact language development, social skills, and overall quality of life. The screening typically occurs within the first few days of life, often before discharge from the hospital. Factors influencing abnormal findings may include maternal health conditions during pregnancy, such as infections (e.g., cytomegalovirus), genetic predispositions, or complications during delivery that could affect the auditory system. Newborns who fail the initial screening are usually referred for further audiological evaluation to confirm the diagnosis and determine the appropriate intervention. The importance of follow-up care and early intervention cannot be overstated, as timely management can lead to better developmental outcomes for affected infants.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in screening protocols across facilities
  • Need for follow-up testing and documentation
  • Potential for co-existing conditions affecting hearing
  • Interpretation of screening results and referral processes

Audit Risk Factors

  • Inadequate documentation of screening results
  • Failure to document follow-up evaluations
  • Misclassification of hearing loss severity
  • Omission of maternal health factors in records

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Neonatal documentation must include results of hearing screenings, any follow-up assessments, and maternal health history.

Common Clinical Scenarios

Common scenarios include NICU admissions where newborns are monitored for hearing loss due to prematurity or maternal infections.

Billing Considerations

Considerations include the need for timely follow-up and coordination with audiology services.

Pediatrics

Documentation Requirements

Pediatric documentation should reflect ongoing assessments of hearing and developmental milestones.

Common Clinical Scenarios

Pediatric scenarios may involve monitoring children with known hearing loss for developmental delays.

Billing Considerations

Pediatric coders must ensure that all relevant maternal and neonatal history is captured.

Coding Guidelines

Inclusion Criteria

Use P09.6 When
  • According to ICD
  • 10 coding guidelines, P09
  • 6 should be used when there are abnormal findings from neonatal hearing screenings, and it is essential to document the results and any subsequent evaluations

Exclusion Criteria

Do NOT use P09.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used for follow-up evaluations of newborns who failed initial hearing screenings.

Documentation Requirements

Documentation must include results of the audiometry and any relevant history.

Specialty Considerations

Neonatologists should coordinate with audiologists for comprehensive care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, including hearing loss, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, including hearing loss, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, including hearing loss, which enhances data accuracy and improves patient care tracking.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Hearing Screening

Coding & Billing References

  • •
    American Academy of Pediatrics - Hearing Screening

Frequently Asked Questions

What should be documented if a newborn fails the hearing screening?

Documentation should include the results of the initial screening, any maternal health factors that may contribute to hearing loss, and details of any follow-up evaluations or referrals made for further assessment.