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v1.0.0
ICD-10 Guide
DiagnosesHearing Loss

Hearing Loss

ICD-10 Coding for Hearing Loss(H90.3, H91.01)

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

Diagnosis Overview

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

Key Clinical Considerations:

  • Difficulty understanding speech, especially in noisy environments
  • Tinnitus or ringing in the ears
  • Progressive or sudden loss of hearing

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset and duration of hearing loss
  • Results of audiometric testing
  • Physical examination findings such as ear canal inspection

Coding Guidelines

Usage Guidelines & Examples

  • Ensure correct code selection based on type and laterality of hearing loss.
  • Common errors include using unspecified codes when more specific codes are available.

Code Exclusions

Important Exclusions

  • Conductive hearing loss (H90.0)
  • Hearing loss due to trauma or infection

Related ICD-10 Codes

Primary Codes
H90.3
Sensorineural hearing loss, bilateral
H91.90
Unspecified hearing loss, unspecified ear
H93.19
Other specified disorders of ear
Ancillary Codes
R42
T45.1X5A
Differential Codes
H90.0
H91.8X1

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Otolaryngology

Specialty Applications

  • Adults and children with hearing impairment
  • Otolaryngology clinics and audiology 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

Documentation requirements?

Include detailed patient history, audiometric test results, and physical exam findings.

Billing considerations?

Ensure correct ICD codes are used and verify insurance coverage for audiology services.