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v1.0.0
ICD-10 Guide
DiagnosesHearing Deficit

Hearing Deficit

ICD-10 Coding for Hearing Deficit(H90.3, H91.1)

PRIMARY SPECIALTYAudiology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Hearing Deficit?
Essential facts and insights about Hearing Deficit

Key Clinical Considerations:

  • Difficulty understanding speech, especially in noisy environments
  • Audiometric testing showing reduced hearing thresholds
  • Presence of earwax impaction or middle ear effusion on examination

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset and duration of hearing loss
  • Results of audiometric tests and tympanometry
  • Assessment of impact on daily living activities

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for distinguishing between conductive and sensorineural hearing loss.
  • Common errors include misclassifying the type of hearing loss.

Code Exclusions

Important Exclusions

  • Hearing loss due to external factors like noise exposure
  • Alternative codes for conductive hearing loss

Related ICD-10 Codes

Primary Codes
H90.3
Sensorineural hearing loss, bilateral
H91.90
Unspecified hearing loss, unspecified ear
Ancillary Codes
Z01.10
Differential Codes
H90.5
H90.5
only if laterality cannot be determined.
H90.3
H90.3
can occur at any age.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Audiology

Specialty Applications

  • Adults and children with suspected hearing impairment
  • Audiology clinics and ENT practices

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Include patient history, audiometric results, and impact assessment.

What are the billing considerations?

Ensure accurate coding based on audiometric findings and patient history.